DR. THERESA M FERNANDEZ (NPI# 1669917738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669917738 |
| Entity Type | Individual |
| Full Name | DR. THERESA M FERNANDEZ |
| Credential | PSY.D. |
| Practice Address |
1901 Veterans Memorial Dr Bldg. 147; W211 Temple TX 76504-7451 |
| Mailing Address |
1700 University Blvd Apt #1012 Round Rock TX 78665-8005 |
| Practice Telephone | 2547432867 |
| Mailing Telephone | 2149916931 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP2482 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194744987 | Theresa Fernandez | Physical Therapist | 313 Maccorkle Ave Sw, Charleston, WV 25303-1263 | 2006-07-19 |
| Street Address |
1901 VETERANS MEMORIAL DR BLDG. 147; W211 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641017 | Jennifer D. Faulkner | Pharmacist | 1901 Veterans Memorial Dr, Mhc 116, Temple, TX 76504-7451 | 2005-07-07 |
| 1144837469 | Raymon Lee Hankins | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-30 |
| 1396352415 | Allison Grace Morrow | Social Worker | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-24 |
| 1114533460 | Kimberly Tuckness | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-22 |
| 1649883950 | Michelle Lee Carroll | Respiratory Therapist, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-08-26 |
| 1598374142 | Nathaniel Thomas Baker V | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-29 |
| 1902424856 | Sarah Bockman | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-08 |
| 1932726064 | Kaitlyn Quinn Morgan | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-06 |
| 1649897877 | Amber Leigh Axline | Social Worker | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-03 |
| 1497371371 | Jericho Yates | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437549755 | Modern Psychologist Network LLC | Psychologist | 16 E Avenue A Ste 212, Temple, TX 76501 | 2015-01-24 |
| 1063609865 | Scott Ilan Feldman | Psychologist | 23 Hadley Hwy Apt 1, Temple, NH 03084-4539 | 2007-09-26 |
| 1811596109 | Luisa Jimenez | Psychologist | 1901 Veterans Memorial Dr., Building 202, Room 2c264, Temple, TX 76504 | 2020-10-19 |
| 1518518372 | Rahel Rebecca Pearson | Psychologist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2019-09-24 |
| 1912426941 | Ryne Andrew Pulido | Psychologist | 2401 S 31st St, Temple, TX 76508-0001 | 2017-09-11 |
| 1023535549 | Benjamin Joseph Klein | Psychologist | 409 W Adams Ave, Temple, TX 76501-4211 | 2017-08-25 |
| 1306362157 | Emily Sherman | Psychologist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2017-08-14 |
| 1063941797 | Anna Elizabeth Pineda | Psychologist | 304 S 22nd St, Temple, TX 76501-4726 | 2017-06-06 |
| 1265984694 | Ellen Bronder | Psychologist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2016-11-02 |
| 1891245320 | Shenira Becker | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.