SERENA FERNANDES (NPI# 1851534788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851534788 |
| Entity Type | Individual |
| Full Name | SERENA FERNANDES |
| Credential | M.D. |
| Practice Address |
300 Longwood Ave # Fegan8 Boston MA 02115-5724 |
| Practice Telephone | 6173556680 |
| Mailing Telephone | 6173556680 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2015-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
255058 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
300 LONGWOOD AVE # FEGAN8 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255864195 | Ah Lahm Shin | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2017-04-07 |
| 1295266104 | Stephanie Ann Stramotas | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1316026685 | Joseph John Jankowski | Psychiatry & Neurology | 750 Washington St # 1007, Boston, MA 02111-1526 | 2006-11-06 |
| 1659305316 | Sara M Salek | Psychiatry & Neurology | Children's Hospital, 300 Longwood Ave, Boston, MA 02115 | 2006-07-10 |
| 1568409209 | Myron L Belfer | Psychiatry & Neurology | 25 Shattuck Street, Harvard Medical School, Boston, MA 02115 | 2006-06-01 |
| 1295266104 | Stephanie Ann Stramotas | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2017-03-22 |
| 1588018733 | Nicholas H Skefos | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-04-13 |
| 1881085744 | Emily Olsen Hall | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-02-13 |
| 1316201080 | Jung Won Kim | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-06-27 |
| 1275857252 | Yoshio Arturo Kaneko | Psychiatry & Neurology | 330 Brookline Ave, Boston, MA 02215-5400 | 2010-03-20 |
| Find all providers in BOSTON | ||||
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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.