SUMALI FERNANDO LLC
NPI 1669913117
Psychologist - Clinical in Oklahoma City, OK

Q: What is Sumali Fernando LLC's NPI number?

The NPI number for Sumali Fernando LLC is 1669913117. It was assigned to this organization in the NPPES registry on March 16, 2017.

Q: What is Sumali Fernando LLC's specialty?

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

Active since March 16, 2017

3035 NW 63RD ST, SUITE 227, OKLAHOMA CITY, OK 73116(405) 242-6460(405) 544-5916 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, Mar 9, 2026, Mar 16, 2017 (3 updates tracked since 2017).

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About Sumali Fernando Llc NPPES

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

SUMALI FERNANDO LLC (NPI 1669913117) is a healthcare organization registered as a clinical in Oklahoma City, Oklahoma and active in the NPI registry since March 2017. The organization lists Sumali Fernando, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1669913117

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSUMALI FERNANDO LLC

Location Address3035 NW 63RD ST, SUITE 227Oklahoma City, OK 73116-3632

Mailing Address3035 Nw 63rd St Ste 227Oklahoma City, OK 73116-3631 · (405) 242-6460 · Fax (405) 544-5916

Phone(405) 242-6460

Fax(405) 544-5916

Organization SubpartNo

Authorized OfficialSumali FernandoClinical Psychologist · (405) 242-6460

Enumeration DateMarch 16, 2017

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1669913117 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 OK · 1214

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.

3035 NW 63RD ST, Oklahoma City, OK 73116

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumali Fernando Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sumali Fernando LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sumali Fernando, PSY.D.

Clinical Psychologist

NPI 1013058817

3035 NW 63RD ST SUITE 227
Oklahoma City, OK 73116

(405) 849-6173

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sumali Fernando LLC's NPI number?

The NPI number for Sumali Fernando LLC is 1669913117. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Sumali Fernando LLC located?

Sumali Fernando LLC is located at 3035 NW 63rd St Suite 227, Oklahoma City, OK 73116. The listed phone number is (405) 242-6460.

What is Sumali Fernando LLC's specialty?

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

Is Sumali Fernando LLC enrolled in Medicare?

Yes. Sumali Fernando LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sumali Fernando LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sumali Fernando LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sumali Fernando LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.