MELANIE ANN FERNANDEZ PHD, ABPP
NPI 1376779645
Psychologist - Clinical Child & Adolescent in New York, NY

Active since June 01, 2009Opted out of Medicare · through Oct 23, 2026
501 5TH AVENUE, SUITE 701, NEW YORK, NY 10017(646) 397-9601 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie Ann Fernandez Phd, Abpp NPPES

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

MELANIE ANN FERNANDEZ PHD, ABPP (NPI 1376779645) is an individual clinical child & adolescent provider in New York, New York, licensed in New York (017948) and active in the NPI registry since June 2009. She has opted out of Medicare through October 23, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376779645
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMELANIE ANN FERNANDEZCredential: PHD, ABPP
Location Address501 5TH AVENUE, SUITE 701New York, NY 10017
Mailing Address501 5th Avenue, Suite 701New York, NY 10017 · (646) 397-9601
Sole ProprietorNo
Enumeration DateJune 1, 2009
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
NPI 1376779645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in NY · 017948
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
501 5TH AVENUE, New York, NY 10017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Melanie Ann Fernandez Phd, Abpp 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 October 23, 2016 through October 23, 2026.

Opt-Out Effective DateOctober 23, 2016
Opt-Out In Effect ThroughOctober 23, 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 2

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

Psychologist (Clinical)
501 5TH AVENUE, SUITE 1412
NEW YORK, NY 10017
Specialist
501 5TH AVENUE, ROOM 2200
NEW YORK, NY 10017

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 Melanie Fernandez's NPI number?

The NPI number for Melanie Fernandez is 1376779645. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Melanie Fernandez located?

Melanie Fernandez practices at 501 5th Avenue Suite 701, New York, NY 10017. The listed phone number is (646) 397-9601.

What is Melanie Fernandez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Melanie Fernandez enrolled in Medicare?

No. Melanie Fernandez has opted out of Medicare through October 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melanie Fernandez was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.