Active NPI
Michelle Marie Rodriguez Diaz, PH.D.
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1023573789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10360
- Practice address
- 2043 Meadow Pond Way
Orlando, FL 32824-5060 - Phone
- (305) 613-1338
- NPI assigned
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PY10360 | FL | |
| Clinical Psychologist | 103TC0700X | PY10360 | FL | Primary |
Addresses
Primary practice location
2043 Meadow Pond Way
Orlando, FL 32824-5060
Mailing address
2043 Meadow Pond Way
Orlando, FL 32824-5060
Phone (305) 613-1338
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10360 | FL | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1023573789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 MEADOW POND WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245060",
"telephone_number": "305-613-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 MEADOW POND WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245060",
"telephone_number": "305-613-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ DIAZ",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-07",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "FL",
"license": "PY10360",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Joel David Rodriguez de la Torre
- Fatima Rodriguez de Sanchez
- Maria J Rodriguez de Vera, DNP
- Lorimar Del Carmen Rodriguez Delima, P.A.
- Katherine Rodriguez Diaz, BACB981857
- Ruth Noemi Rodriguez Dominguez
- Yianeyia Rodriguez Felipe
- Jenny De Jesus Rodriguez Fernandez
- Eliangely Rodriguez Figueroa
- Marielys Rodriguez Fonseca
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.