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DR. MICHELLE FERNANDO PHD
NPI 1962116640
Psychologist - Clinical in Brockton, MA

Active since January 09, 2023
940 BELMONT ST, BROCKTON, MA 02301(617) 419-8584 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Michelle Fernando Phd NPPES

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

DR. MICHELLE FERNANDO PHD (NPI 1962116640) is an individual clinical provider in Brockton, Massachusetts, licensed in Rhode Island (PS02255) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1962116640
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELLE FERNANDOCredential: PHD
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address940 Belmont StBrockton, MA 02301-5596 · (774) 826-3366
Phone(617) 419-8584
Sole ProprietorYes
Enumeration DateJanuary 9, 2023
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1962116640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in RI · PS02255✔ Licensed in MA · PSY10001624
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.
940 BELMONT ST, Brockton, MA 02301
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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.

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
DANIELLE NIXON LCSW
Case Manager/Care Coordinator
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418

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 Michelle Fernando's NPI number?

The NPI number for Michelle Fernando is 1962116640. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Michelle Fernando located?

Michelle Fernando practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (617) 419-8584.

What is Michelle Fernando's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Fernando was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.