Active NPI
Amanda Rodriguez
- Early Intervention Provider Agency
- Nyack, NY
National Provider Identifier
1013677764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 23 E Catherine St
Nyack, NY 10960-2522 - Phone
- (917) 721-3527
- NPI assigned
- Dec 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NY | Primary |
Addresses
Primary practice location
23 E Catherine St
Nyack, NY 10960-2522
Mailing address
23 E Catherine St
Nyack, NY 10960-2522
Phone (917) 721-3527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1013677764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 E CATHERINE ST",
"city": "NYACK",
"state": "NY",
"postal_code": "109602522",
"telephone_number": "917-721-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E CATHERINE ST",
"city": "NYACK",
"state": "NY",
"postal_code": "109602522",
"telephone_number": "917-721-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
- Kara Robinson, L.M.H.C.
- Rock Well, LCSW, PLLC (Rockwell Counseling)
- Rockland County Counseling Services LCSW PLLC (Embrace Psychotherapy LCSW)
- Rockland Psychiatric Center
- Lastny Gabriela Rodriguez-Polanco
- Edwardo Rodriguez, M.S.ED.
- Sandra Maria Rodriguez, MSED.
- Sophia Rodriguez, MS, GC
- Emilio Rosario
- Michael K. Rosen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.