Active NPI
Katherine Rodriguez, PSY.D.
- Clinical Psychologist
- El Cajon, CA
National Provider Identifier
1184887010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21851
- Practice address
- 1391 E Madison Ave
El Cajon, CA 92021-8568 - Phone
- (619) 722-0014
- Fax
- (619) 327-4174
- NPI assigned
- Jul 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 21851 | CA | Primary |
Addresses
Primary practice location
1391 E Madison Ave
El Cajon, CA 92021-8568
Mailing address
PO Box 18228
Irvine, CA 92623-8228
Phone (619) 722-0014
Other practice location 1
11962 Woodside Ave
Lakeside, CA 92040-2914
Phone (619) 722-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1391 E Madison Ave
El Cajon, CA 92021-8568
Phone (619) 444-1107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Psychologist
- San Diego, CA
- NPI 1558752931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1184887010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18228",
"city": "IRVINE",
"state": "CA",
"postal_code": "926238228",
"telephone_number": "619-722-0014",
"fax_number": "619-327-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 E MADISON AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920218568",
"telephone_number": "619-722-0014",
"fax_number": "619-327-4174"
}
],
"practiceLocations": [
{
"address_1": "11962 Woodside Ave",
"address_purpose": "LOCATION",
"city": "Lakeside",
"state": "CA",
"postal_code": "920402914",
"country_code": "US",
"telephone_number": "619-722-0014",
"fax_number": "619-327-4174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "21851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.