Individual provider Active NPI

Monica Rodriguez Pagan, PSYD

  • Clinical Psychologist
  • Winter Haven, FL
National Provider Identifier
1134428170
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10331 Issued in FL
Practice address
160 Avenue E NW
Winter Haven, FL 33881-4127
Phone
(656) 600-2303
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3945 PR
Clinical Psychologist 103TC0700X PY10331 FL Primary

Addresses

Primary practice location

160 Avenue E NW
Winter Haven, FL 33881-4127

Mailing address

160 Avenue E NW
Winter Haven, FL 33881-4127
Phone (787) 398-8895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240706000004 FL Practitioner - Clinical Psychologist 7012180540 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Psychological Consulting Services, LLC Clinical CurrentSince Aug 4, 2024 Accepting new patients
Grow Healthcare Group PA CurrentSince May 9, 2025 Accepting new patients
Bettye West & Associates, Inc. PastSince Nov 26, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

160 Avenue E NW
Winter Haven, FL 33881
Phone (863) 709-8110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1134428170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 AVENUE E NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814127",
            "telephone_number": "787-398-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE E NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814127",
            "telephone_number": "656-600-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "MONICA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3945",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.