Jose Mario Rodriguez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.202660 Issued in LA

Practice address

4421 Conlin St
Suite 101
Metairie, LA 70006-2154

Phone

(504) 220-3803

NPI assigned

Jun 12, 2008

Last updated

Mar 18, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rodriguez Clinic and Foundation LLC

  • Psychiatry Physician
  • Metairie, LA
  • NPI 1609001999
  Medicare reassignment NPD Authorized official
• Beacon Behavioral Hospital - New Orleans LLC

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1760437131
  NPD (past)
• Beacon Behavioral Hospital LLC

  dba Beacon Behavioral Outpatient - Lutcher

  • Psychiatric Hospital
  • Lutcher, LA
  • NPI 1881996940
  NPD (past)
• Beacon Behavioral Hospital Northshore, LLC

  • Psychiatric Hospital
  • Lacombe, LA
  • NPI 1508819202

  Psychiatry

  NPD (past)
• Community Care LLC

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1346224847
  NPD (past)
• Oceans Behavioral Hospital of Greater New Orleans LLC

  dba Oceans Behavioral Hospital of Greater New Orleans

  • Psychiatric Hospital
  • Gretna, LA
  • NPI 1952561318
  NPD (past)
• University Healthcare System, L.C.

  dba Lakeview Regional Behavioral Health

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  NPD (past)
• Family Preservation Services

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1972808871
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1235399262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 CONLIN ST",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062154",
            "telephone_number": "504-220-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 CONLIN ST",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062154",
            "telephone_number": "504-220-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.202660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1075353",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodriguez Clinic and Foundation LLC
• Alexandra Rodriguez-Drye
• Alexis Raphael Rodriguez
• Amanda Anielka Rodriguez, NP
• Erica Rodriguez
• Laurianda Jacqueline Rodriguez
• Marco A Rodriguez, MD
• Melissa Lynn Rodriguez
• Warren W Roesch, RNFA
• Brittany Nicholle Rogers

• Psychiatry Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.