SAM FERNANDEZ LCSW
NPI 1336218718
Psychologist in Ukiah, CA

Active since November 07, 2006
333 LAWS AVE, UKIAH, CA 95482(707) 468-1010(707) 468-0174 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam Fernandez Lcsw NPPES

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

SAM FERNANDEZ LCSW (NPI 1336218718) is an individual psychologist in Ukiah, California, licensed in California (22129) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1336218718
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSAM FERNANDEZCredential: LCSW
Location Address333 LAWS AVEUkiah, CA 95482-6540
Mailing Address333 Laws AveUkiah, CA 95482-6540 · (707) 468-1010 · Fax (707) 468-0174
Fax(707) 468-0174
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1336218718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 22129
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCS22129 (CA)
333 LAWS AVE, Ukiah, CA 95482

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
333 LAWS AVE
UKIAH, CA 95482
Health Educator
333 LAWS AVE
UKIAH, CA 95482
Midwife
333 LAWS AVE
UKIAH, CA 95482
Psychologist
333 LAWS AVE
UKIAH, CA 95482
Midwife
333 LAWS AVE
UKIAH, CA 95482
Pharmacist
333 LAWS AVE
UKIAH, CA 95482
Dentist (General Practice)
333 LAWS AVE
UKIAH, CA 95482
Nurse Practitioner (Family)
333 LAWS AVE
UKIAH, CA 95482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Fernandez's NPI number?

The NPI number for Sam Fernandez is 1336218718. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Sam Fernandez located?

Sam Fernandez practices at 333 Laws Ave, Ukiah, CA 95482. The listed phone number is (707) 468-1010.

What is Sam Fernandez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Sam Fernandez was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.