Vimary Rodriguez, PSY.D

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

PY9893 Issued in FL

Practice address

1500 N University Dr
Ste 201D
Coral Springs, FL 33071-8914

Phone

(954) 281-4338

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clag Psychological Center & Consultants, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Springs, FL
  • NPI 1811641715
  Medicare reassignment Authorized official
• Health Support Services, Inc

  • Clinic/Center
  • Carolina, PR
  • NPI 1902818669
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1144375338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 GLENMORE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717878",
            "telephone_number": "954-281-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR",
            "address_2": "STE 201D",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718914",
            "telephone_number": "954-281-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VIMARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "PY9893",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Laura Rodriguez, BCBA
• Melissa Rodriguez
• Melissa C Rodriguez
• Monique Gusmao Rodriguez, L.AC,D.AC.
• Roxana Rodriguez, APRN
• Yaquelin Rodriguez, MSW, LCSW
• Fatima Rodriquez, LMT
• Denise Rodruguez Rivera, LMT
• Megan Rodwell
• Autumn D Rogers-Vazquez, RCSWI

• Health Psychologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Health Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.