DR. NICOLAS FERNANDEZ PHD - NPI 1215549589 - Psychologist in New York, NY

Q: What is Nicolas Fernandez's NPI number?

The NPI number for Nicolas Fernandez is 1215549589. It was assigned to this individual provider in the NPPES registry on August 18, 2020. The provider is also known as Dr. Nick Fernandez Phd.

Q: What is Nicolas Fernandez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Fernandez was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Nicolas Fernandez Phd NPPES

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

DR. NICOLAS FERNANDEZ PHD (NPI 1215549589) is an individual clinical provider in New York, New York, licensed in New York (024934) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1215549589

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICOLAS FERNANDEZCredential: PHD

Location Address276 5TH AVE RM 604New York, NY 10001-4527

Mailing Address276 5th Ave Rm 604New York, NY 10001-4527 · (203) 942-8283

Phone(203) 942-8283

Sole ProprietorYes

Enumeration DateAugust 18, 2020

Last NPPES UpdateJune 8, 20263 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1215549589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 024934

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.

Also ListedPsychologistTaxonomy 103T00000X · License 024934 (NY)

276 5TH AVE RM 604, New York, NY 10001

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Other Names 1

Professional Name (2)Dr. Nick Fernandez Phd

Secondary Practice Location 1

Location 16 E 39th St Ste 800New York, NY 10016-0037 · Phone (917) 524-6859

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicolas Fernandez Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10001 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 14

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

JACOB MERGENDOLLER LCSW

Social Worker (Clinical)