Active NPI
Fernanda Bianchi, PH.D.
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1982050282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05802
- Practice address
- 4405 E West Hwy Ste 410
Bethesda, MD 20814-4535 - Phone
- (240) 858-9072
- NPI assigned
- May 5, 2016
- Last updated
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYA00078 | DC | |
| Clinical Psychologist | 103TC0700X | 05802 | MD | Primary |
Addresses
Primary practice location
4405 E West Hwy Ste 410
Bethesda, MD 20814-4535
Mailing address
4405 E West Hwy Ste 410
Bethesda, MD 20814-4535
Phone (240) 858-9072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 22, 2022 through Sep 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYA00078 | DC | MD | Clinical Psychologist |
| 05802 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1982050282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 E WEST HWY STE 410",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144535",
"telephone_number": "240-858-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 E WEST HWY STE 410",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144535",
"telephone_number": "240-858-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCHI",
"first_name": "FERNANDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSYA00078",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.