MISS EILEEN PATRICIA FERNANDEZ TRINIDAD
NPI 1902319965
Counselor - Mental Health in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since November 13, 2017PECOS Enrolled

579 COURTLANDT AVE, BRONX, NY 10451(718) 204-8521 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miss Eileen Patricia Fernandez Trinidad NPPES

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

MISS EILEEN PATRICIA FERNANDEZ TRINIDAD (NPI 1902319965) is an individual mental health provider in Bronx, New York and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902319965

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMISS EILEEN PATRICIA FERNANDEZ TRINIDAD

Location Address579 COURTLANDT AVEBronx, NY 10451-5013

Mailing Address104 Hawthorne Ave Apt 3Yonkers, NY 10701-6902 · (914) 308-2892 · Fax (914) 308-2892

Phone(718) 204-8521

Sole ProprietorNo

Enumeration DateNovember 13, 2017

✔ NPI 1902319965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

579 COURTLANDT AVE, Bronx, NY 10451

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Eileen Patricia Fernandez Trinidad 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.