ROBERT E FERNANDEZ JR. (NPI# 1225421969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225421969 |
| Entity Type | Individual |
| Full Name | ROBERT E FERNANDEZ JR. |
| Practice Address |
5 Science Park 2nd Floor New Haven CT 06511-1966 |
| Mailing Address |
5 Science Park 2nd Floor New Haven CT 06511 |
| Practice Telephone | 2037721270 |
| Mailing Telephone | 2037721270 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710188891 | Robert A. J. Fernandez | Family Medicine | Crossover Health At Telemundo, 2350 Nw 117th Place, Miami, FL 33182 | 2007-05-29 |
| 1821142399 | Robert N. Fernandez | Occupational Therapist | 285 Pioneer Path, West Jefferson, NC 28694-8174 | 2007-01-22 |
| 1558410522 | Robert C. Fernandez | Psychiatry & Neurology | 4890 W Kennedy Blvd, Suite 990, Tampa, FL 33609-1851 | 2007-01-09 |
| 1114927258 | Robert A Fernandez | Specialist | 613 Elizabeth St Suite 601, Corpus Christi, TX 78404 | 2005-07-29 |
| 1013443522 | Robert Anthony Fernandez | Social Worker | 954 Business Park Dr, Traverse City, MI 49686-8763 | 2017-05-03 |
| 1265755417 | Robert Anthony Fernandez | Family Medicine | 5 Lower Ragsdale Dr Ste 100, Monterey, CA 93940-5817 | 2010-03-02 |
| 1477763134 | Robert Mario Fernandez | Dentist | 256 N San Mateo Dr, #5, San Mateo, CA 94401-2624 | 2007-05-23 |
| 1790743151 | Robert Garibay Fernandez | Family Medicine | 372 W Cypress Ave, Reedley, CA 93654-2113 | 2006-05-03 |
| 1114904869 | Robert Fernandez | Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-12-23 |
| 1710985536 | Robert Fernandez | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
| Street Address |
5 SCIENCE PARK 2ND FLOOR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821196304 | Pgxhealth, LLC | Clinical Medical Laboratory | 5 Science Park, New Haven, CT 06511-1966 | 2006-09-20 |
| 1104458314 | Deanna Akinbajo | Pharmacist | 5 Science Park, New Haven, CT 06511-1966 | 2020-02-05 |
| 1598397812 | Brian Tse | Pharmacist | 5 Science Park, New Haven, CT 06511-1966 | 2020-02-05 |
| 1295378644 | Frances J Vazquez | Counselor | 5 Science Park, New Haven, CT 06511-1966 | 2019-10-17 |
| 1093293441 | Chelsea Lynn Matteson | Student in an Organized Health Care Education/Training Program | 5 Science Park, New Haven, CT 06511-1966 | 2018-07-29 |
| 1003300666 | Katherine Saunders | Social Worker | 5 Science Park, New Haven, CT 06511-1966 | 2018-06-18 |
| 1487169215 | Seth Wallace | Social Worker | 5 Science Park, New Haven, CT 06511-1966 | 2017-12-01 |
| 1063922532 | Joseph Tyler Simonsen | Pharmacist | 5 Science Park, New Haven, CT 06511-1966 | 2017-10-10 |
| 1588112106 | Emanuel Colon | Counselor | 5 Science Park, New Haven, CT 06511-1966 | 2016-09-12 |
| 1134674625 | Lakisha Langley | Marriage & Family Therapist | 5 Science Park, Floor 2, New Haven, CT 06511-1966 | 2016-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311599 | Families On The Line, LLC | Counselor | 129 Church St Ste 807, New Haven, CT 06510-2005 | 2019-08-15 |
| 1063985877 | Robin M Knight | Counselor | 471 Lighthouse Rd, New Haven, CT 06512-4015 | 2019-01-03 |
| 1215413505 | Mia Vita Counseling LLC | Counselor | 425 Dixwell Ave, New Haven, CT 06511-1771 | 2018-07-19 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1225543457 | Re-focus Foundation Inc. | Counselor | 157 Church Street, 19th Floor, New Haven, CT 06510 | 2017-12-11 |
| 1851804231 | Clara Tilley | Counselor | 900 Chapel St Ste 1400, New Haven, CT 06510-2814 | 2017-11-08 |
| 1255876926 | Della Marie Mullins | Counselor | 900 Grand Ave Apt 6, New Haven, CT 06511-4982 | 2017-01-04 |
| 1164826327 | Jamie Jakubus | Counselor | 57224 Tanglewood St, New Haven, MI 48048-2993 | 2014-10-17 |
| 1710325824 | Jose Villafuerte | Counselor | 628 George St, New Haven, CT 06511-5362 | 2013-06-11 |
| 1528311735 | Phillipa Blake | Counselor | 140 Dewitt St, New Haven, CT 06519-2133 | 2012-10-25 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.