Maria a Rodriguez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MARIA A RODRIGUEZ, PH.D.

Practice address

417 W 13TH St
Pueblo, CO 81003-2703

Phone

(719) 544-0877

Fax

(719) 544-2033

NPI assigned

Jul 17, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria A Rodriguez, PH.D.NPI 1437191384

Title

Owner

Phone

(719) 544-0877

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria A Rodriguez, PH.D.

  • Clinical Psychologist
  • Pueblo, CO
  • NPI 1437191384
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1144247859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032703",
            "telephone_number": "719-544-0877",
            "fax_number": "719-544-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032703",
            "telephone_number": "719-544-0877",
            "fax_number": "719-544-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A RODRIGUEZ, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-544-0877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69381810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marathon Health, LLC (Marathon Health, Pueblo CO)
• Benjamin K Marble, DPM
• Madorey Mares
• Raya Marfitano
• Brianna Promise Marhofer
• Dominic P Marin
• Philip Charles Marin, MD
• Jose Mariscal
• Mark D. Hurd, D.D.S.
• Kelsey Lynn Markenson, FNP-BC, AGACNP-BC

• Clinical Psychologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.