Nallivy Fernandez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH17326 Issued in FL

Practice address

630 SW 70TH Ave
Pembroke Pines, FL 33023-1023

Phone

(954) 665-3240

NPI assigned

Mar 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nallivy Fernandez LMHC LLC

  dba Fields Of Ivy Counseling

  • Mental Health Counselor
  • Miami, FL
  • NPI 1194450833
  NPD Authorized official
• Alan H. Mandell P.a.

  dba Mandell Chiropractic Center

  • Chiropractor
  • Miami, FL
  • NPI 1538333125
  NPD

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1952862328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SW 70TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231023",
            "telephone_number": "954-665-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SW 70TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231023",
            "telephone_number": "954-665-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "NALLIVY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Fernandez
• Jose Luis Fernandez
• Karina Ines Fernandez
• Leslie Fernandez
• Maria Paula Fernandez, PA-C
• Oneirys Fernandez
• Penelope Noemi Fernandez
• Stephanie Yelina Fernandez
• Tiffany Ann Fernandez
• Yisel Fernandez, MS

• Mental Health Counselor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.