NPIMap

Organization Active NPI

Catalina Jacobs-Fernandez, Psy.D. LLC

  • Psychologist
  • Miami, FL
National Provider Identifier
1871970418
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5925 Issued in FL
Legal business name
CATALINA JACOBS-FERNANDEZ, PSY.D. LLC
Practice address
11880 Bird Rd Ste 219
Miami, FL 33175-3574
Phone
(305) 221-9921
Fax
(305) 221-6731
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Catalina Rosa Jacobs-Fernandez, PSY.D.NPI 1073533527
Title
Owner
Phone
(305) 221-9921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5925 FL Primary

Addresses

Primary practice location

11880 Bird Rd Ste 219
Miami, FL 33175-3574

Mailing address

11880 Bird Rd Ste 219
Miami, FL 33175-3574
Phone (305) 221-9921

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1871970418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 BIRD RD STE 219",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753574",
            "telephone_number": "305-221-9921",
            "fax_number": "305-221-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 BIRD RD STE 219",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753574",
            "telephone_number": "305-221-9921",
            "fax_number": "305-221-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA JACOBS-FERNANDEZ, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "JACOBS-FERNANDEZ",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-221-9921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.