Ms. Beverly Fernandez, PSY M, CCBT, CCTS-I
Counselor in Woodbridge, New Jersey
1174025563- Practice location
- 55 Brook St, Woodbridge, NJ 07095-2946
- Phone
- 678-462-5274
- Fax
- —
- Last updated
- May 16, 2026
Beverly Fernandez is a Counselor based in Woodbridge, NJ. Beverly Fernandez practices in Woodbridge, NJ and has the professional credentials of PSY M, CCBT, CCTS-I. The NPI Number for Beverly Fernandez is 1174025563. The current practice location address for Beverly Fernandez is 55 Brook St, Woodbridge, NJ 07095-2946 and can be reached out via phone at 678-462-5274.
Provider Profile Details
- NPI Number
- 1174025563
- Provider Name
- Beverly Fernandez
- Credential
- PSY M, CCBT, CCTS-I
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Brook St, Woodbridge, NJ 07095-2946
- Phone Number
- 678-462-5274
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 1, 2018
- Last Update Date
- May 16, 2026
- Certification Date
- May 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Brook St
Woodbridge, NJ 07095-2946 - City
- Woodbridge
- State
- New Jersey
- Zip
- 07095-2946
- Phone Number
- 678-462-5274
Provider Business Mailing Address Details
- Address
- 447 Broadway Ste 443
New York, NY 10013-2562 - City
- New York
- State
- NY
- Zip
- 10013-2562
- Phone Number
- 347-229-9907
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Beverly Fernandez, PSY M, CCBT, CCTS-I?
The NPI number of Ms. Beverly Fernandez, PSY M, CCBT, CCTS-I is 1174025563. It was assigned on March 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Ms. Beverly Fernandez, PSY M, CCBT, CCTS-I?
Ms. Beverly Fernandez, PSY M, CCBT, CCTS-I is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Ms. Beverly Fernandez, PSY M, CCBT, CCTS-I practice?
The practice location is 55 Brook St, Woodbridge, NJ 07095-2946. The office can be reached at 678-462-5274 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174025563 directly on the NPPES registry website.