Jourdan Alexander Rodak

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12414 Issued in FL

Practice address

2929 N University Dr Ste 205
Coral Springs, FL 33065-1424

Phone

(954) 378-5381

NPI assigned

Jul 18, 2022

Last updated

May 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Amanda Patterson, LMHC, LLC

  • Mental Health Counselor
  • Davie, FL
  • NPI 1265815351
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1215662093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 LAKEWOOD PL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732245",
            "telephone_number": "904-434-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N UNIVERSITY DR STE 205",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651424",
            "telephone_number": "954-378-5381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5379 Lyons Rd # 1693",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330732810",
            "country_code": "US",
            "telephone_number": "754-333-1349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODAK",
        "first_name": "JOURDAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Antonio Robles, M.D.
• Karina Rocha Souza, OTR, CHT
• Dana Angel Rocha
• Rocksteady Therapy & Wellness
• Rocksteady Therapy & Wellness Inc.
• Sofia Anastasia Rodriguez Fernandez
• Vivian Del Rosario Rodriguez Nordmann
• Maria Alejandra Rodriguez Patino, RBT
• Johand Rodriguez-Fernandez, PSY.D.
• Gloricel Rodriguez-Lebron, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.