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Export Provider Record NPI 1013058817
Sumali M FernandoPSY.D.
Active
NPI Number1013058817
NPI TypeNPI-1 Individual
SpecialtyPsychologist
Provider Details
NPI1013058817
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-02-12
Last Updated2024-12-04
Mailing Address3035 Nw 63rd St, Suite 227
Oklahoma City, OK 73116-3632
United States
Phone: (817) 681-9839 | Fax: (405) 544-5916
📍 View Map
Primary Practice Address3035 Nw 63rd St, Suite 227
Oklahoma City, OK 73116-3632
United States
Phone: (405) 849-6173 | Fax: (405) 544-5916
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes103T00000X – PsychologistOK1214
Export Provider Record NPI 1013058817
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About NPI 1013058817

Sumali M Fernando PSY.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013058817. The primary specialty listed is Psychologist. The provider is located in Oklahoma City, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013058817?

NPI 1013058817 belongs to Sumali M Fernando PSY.D., a Psychologist in Oklahoma City, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013058817 active?

The current status of NPI 1013058817 in the NPPES registry is Active. The record was last updated on 2024-12-04.

What specialty is NPI 1013058817?

NPI 1013058817 is classified under the taxonomy Psychologist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013058817?

You can verify NPI 1013058817 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013058817?

The primary practice address on file for NPI 1013058817 is 3035 Nw 63rd St, Oklahoma City, OK 73116-3632. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013058817 issued?

NPI 1013058817 was first issued (enumerated) on 2007-02-12. The NPPES record was last updated on 2024-12-04.

Practice Location Map

Sumali M Fernando is located at 3035 Nw 63rd St, Oklahoma City, OK. Use the map below to find directions or verify the practice location.

📍 3035 Nw 63rd St, Oklahoma City, OK 73116-3632  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sumali M Fernando. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013058817. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Psychologist1214OK
Data Verified from CMS NPPES Last synced: 2026-06-06 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162