Dr Nicolas Fernandez, PHD is a
Psychologist based in New York, New York. Dr Nicolas Fernandez is licensed to practice in New York (license number 024934) and his current practice location is
600 3rd Ave, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 547-8861.
NPI number for Dr Nicolas Fernandez is 1215549589 and his current mailing address is 60 Leach Hollow Rd, Sherman, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215549589.
Healthcare Provider's Profile
| Full Name | Dr Nicolas Fernandez |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 600 3rd Ave, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215549589
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 05/02/2022
Medical Identifiers
Medical identifiers for Dr Nicolas Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215549589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 024934 (New York) | Secondary |
| 103T00000X | Psychologist | 024934 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicolas Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicolas Fernandez, PHD
60 Leach Hollow Rd,
Sherman, CT 06784-2300
Ph: () - | Dr Nicolas Fernandez, PHD
600 3rd Ave,
New York, NY 10016-1901
Ph: (212) 547-8861 |
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