Organization Active NPI

Suzanne Rodriguez

  • Community/Behavioral Health Agency
  • Yakima, WA
National Provider Identifier
1235403981
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LW 60137381 Issued in WA
Legal business name
SUZANNE RODRIGUEZ
Doing business as
Suzanne Rodriguez
Practice address
5200 N Canyon Rd
Yakima, WA 98901-1626
Phone
(509) 833-0744
NPI assigned
Feb 27, 2012
Last updated
Feb 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mrs. Suzanne Lynette Rodriguez, LICSW
Title
Licensed Clinical Social Worker
Phone
(509) 833-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LW 60137381 WA Primary

Addresses

Primary practice location

5200 N Canyon Rd
Yakima, WA 98901-1626

Mailing address

5200 N Canyon Rd
Yakima, WA 98901-1626
Phone (509) 833-0744

Other names 1

  • Suzanne Rodriguez Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1235403981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N CANYON RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011626",
            "telephone_number": "509-833-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CANYON RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011626",
            "telephone_number": "509-833-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "509-833-0744",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LW 60137381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne Rodriguez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.