FERNANDE NANDA MAMANE PHD
NPI 1134924566
Psychologist - Clinical in Hollywood, FL

Active since February 18, 2025PECOS Enrolled
11011 SHERIDAN ST STE 211, HOLLYWOOD, FL 33026(954) 408-2367 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Fernande Nanda Mamane Phd NPPES

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

FERNANDE NANDA MAMANE PHD (NPI 1134924566) is an individual clinical provider in Hollywood, Florida, licensed in Florida (PY12404) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134924566
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameFERNANDE NANDA MAMANECredential: PHD
Location Address11011 SHERIDAN ST STE 211Hollywood, FL 33026-1531
Mailing Address11011 Sheridan St Ste 211Hollywood, FL 33026-1531 · (954) 408-2367
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 18, 2025
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1134924566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY12404
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11011 SHERIDAN ST STE 211, Hollywood, FL 33026

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fernande Nanda Mamane Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507365020
PECOS Enrollment IDI20250820001178
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Marriage & Family Therapist
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Marriage & Family Therapist
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Marriage & Family Therapist
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Counselor
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Marriage & Family Therapist
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Marriage & Family Therapist
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Counselor (Mental Health)
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026
Marriage & Family Therapist
11011 SHERIDAN ST STE 211
HOLLYWOOD, FL 33026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134924566, enumerated as an "individual" on February 18, 2025.

The provider is located at 11011 SHERIDAN ST STE 211 HOLLYWOOD, FL 33026 and the phone number is (954) 408-2367.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.