Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fernande Nanda Mamane, PHD

Individual provider Clinical Psychologist · NPI 1134924566

Fernande Nanda Mamane, PHD is a Mental Health Counselor in Hollywood, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11011 Sheridan St Ste 211
Hollywood, FL 33026-1531
Phone: (954) 408-2367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY12404 (FL)

Record details

NPI number1134924566
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 18, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address11011 Sheridan St Ste 211, Hollywood, FL 33026-1531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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