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MS. DELLA FERNANDES LICENSED MFT
NPI 1043432784
Marriage & Family Therapist in Burlingame, CA

Active since May 03, 2007PECOS Enrolled
1204 BURLINGAME AVE STE 5, BURLINGAME, CA 94010(925) 365-6968 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Della Fernandes Licensed Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DELLA FERNANDES LICENSED MFT (NPI 1043432784) is an individual marriage & family therapist in Burlingame, California, licensed in California (MFC50734) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043432784
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. DELLA FERNANDESCredential: LICENSED MFT
Location Address1204 BURLINGAME AVE STE 5Burlingame, CA 94010-4139
Mailing Address405 Primrose Rd Ste 209Burlingame, CA 94010-4091 · (650) 490-3120
Phone(925) 365-6968
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 19, 2013
✔ NPI 1043432784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC50734
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF52312 (CA)
1204 BURLINGAME AVE STE 5, Burlingame, CA 94010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Della Fernandes Licensed Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA KAY RUDD PH.D.
Psychologist (Clinical)
1204 BURLINGAME AVE STE 5
BURLINGAME, CA 94010
San Mateo County (650) 348-8829

Frequently Asked Questions

What is Della Fernandes's NPI number?

The NPI number assigned to this healthcare provider is 1043432784, enumerated as an "individual" on May 03, 2007.

Where is the provider located?

The provider is located at 1204 BURLINGAME AVE STE 5 BURLINGAME, CA 94010 and the phone number is (925) 365-6968.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.