Active NPI
Jenny Rodriguez-Jimenez, PH.D., M.S.W.
- Clinical Psychologist
- Carolina, PR
National Provider Identifier
1255300026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001453
- Practice address
- 6471 Ave Isla Verde
Local 4 New San Juan Commercial
Carolina, PR 00979-7103 - Phone
- (787) 564-4839
- NPI assigned
- Mar 15, 2006
- 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 | 001453 | PR | Primary |
Addresses
Primary practice location
6471 Ave Isla Verde
Local 4 New San Juan Commercial
Carolina, PR 00979-7103
Mailing address
D10 Calle Temple
Urb Santa Ana
San Juan, PR 00927-4904
Phone (787) 564-4839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001453 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1255300026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "D10 CALLE TEMPLE",
"address_2": "URB SANTA ANA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274904",
"telephone_number": "787-564-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6471 AVE ISLA VERDE",
"address_2": "LOCAL 4 NEW SAN JUAN COMMERCIAL",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009797103",
"telephone_number": "787-564-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-JIMENEZ",
"first_name": "JENNY",
"name_prefix": "Dr.",
"credential": "PH.D., M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "001453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.