Ana Fernandez, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10539-PY-PR Issued in MA

Practice address

58 Conwell Ave #1
Somerville, MA 02144-1278

Phone

(917) 628-0741

NPI assigned

Apr 23, 2016

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

Electronic endpoints 1

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1982059218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CONWELL AVE APT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441278",
            "telephone_number": "917-628-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CONWELL AVE #1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441278",
            "telephone_number": "917-628-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ANA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-23",
        "last_updated": "2022-06-23",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10539-PY-PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ana@anafernandezphd.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "Secure Communication service",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "58 Conwell Ave Apt 1",
            "city": "Somerville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021441278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judcine Felix
• Sarah Feltz
• Leslie R Fenn, M.D.
• Lorna Fermin
• Elaine SM Fernandes
• Susana J Ferradas, LMHC, PHD
• Elizabeth Ann Ferreira, RN
• Fernanda Gabriela Ferreira, MS
• Mirna M Festi
• Annie K Ficarra, LMHC

• Psychologist in Somerville, MA
• Providers in Somerville, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.

Verify at the official NPI Registry.