Active NPI
Anna Maria Patino-Fernandez, PHD
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1962555839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7441
- Practice address
- 7600 SW 57 Ave.
Suite 225
Miami, FL 33143-5408 - Phone
- (305) 663-6366
- Fax
- (305) 663-1118
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7441 | FL | Primary |
Addresses
Primary practice location
7600 SW 57 Ave.
Suite 225
Miami, FL 33143-5408
Mailing address
7600 SW 57 Ave.
Suite 225
Miami, FL 33143-5408
Phone (305) 663-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1962555839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 SW 57 AVE.",
"address_2": "SUITE 225",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435408",
"telephone_number": "305-663-6366",
"fax_number": "305-663-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 SW 57 AVE.",
"address_2": "SUITE 225",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435408",
"telephone_number": "305-663-6366",
"fax_number": "305-663-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO-FERNANDEZ",
"first_name": "ANNA MARIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7441",
"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 Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.