Edwardo Rodriguez, M.S.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004751-1 Issued in NY

Practice address

15 Lawrence St
Nyack, NY 10960-2924

Phone

(845) 219-1637

Fax

(845) 215-5555

NPI assigned

Mar 25, 2008

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Fronteras Mental Health Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Nyack, NY
  • NPI 1962770420
  NPD (past) Authorized official
• New Fronteras Licensed Clinical Social Work Services, PLLC

  • Community/Behavioral Health Agency
  • Nyack, NY
  • NPI 1811395833
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1255503785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109540322",
            "telephone_number": "845-219-1637",
            "fax_number": "845-215-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAWRENCE ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602924",
            "telephone_number": "845-219-1637",
            "fax_number": "845-215-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDWARDO",
        "credential": "M.S.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004751-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock Well, LCSW, PLLC
• Rockland County Counseling Services LCSW PLLC
• Rockland Psychiatric Center
• Lastny Gabriela Rodriguez-Polanco
• Amanda Rodriguez
• Sandra Maria Rodriguez, MSED.
• Sophia Rodriguez, MS, GC
• Emilio Rosario
• Michael K. Rosen, MD
• Heather Mattea Rosenblum, PHARMD

• Mental Health Counselor in Nyack, NY
• Providers in Nyack, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.