Active NPI
Rosie Mishelle Rodriguez, PHD, LP
- Clinical Psychologist
- Ypsilanti, MI
National Provider Identifier
1275053571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016377
- Practice address
- 124 Pearl St Ste 401
Ypsilanti, MI 48197-2663 - Phone
- (734) 606-9802
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301016377 | MI | Primary |
Addresses
Primary practice location
124 Pearl St Ste 401
Ypsilanti, MI 48197-2663
Mailing address
3904 Cloverlawn Ave
Ypsilanti, MI 48197-8611
Phone (734) 992-7218
Other practice location 1
122 S Main St Ste 200
Ann Arbor, MI 48104-1925
Phone (734) 945-6210
Other practice location 2
120 E Liberty St Ste 200
Ann Arbor, MI 48104-2156
Phone (734) 992-7218
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016377 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling and Consulting | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Ypsilanti, MI
- NPI 1043735319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1275053571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 CLOVERLAWN AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978611",
"telephone_number": "734-992-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PEARL ST STE 401",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972663",
"telephone_number": "734-606-9802"
}
],
"practiceLocations": [
{
"address_1": "122 S Main St Ste 200",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481041925",
"country_code": "US",
"telephone_number": "734-945-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E Liberty St Ste 200",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481042156",
"country_code": "US",
"telephone_number": "734-992-7218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROSIE",
"middle_name": "MISHELLE",
"name_prefix": "Dr.",
"credential": "PHD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.