Dolores I Rodriguez-Reimann, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 17124 Issued in CA

Practice address

690 Otay Lakes Rd.
Suite 210
Chula Vista, CA 91910-8904

Phone

(619) 991-0591

Fax

(619) 955-5790

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Professional and Personal Excellence International

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1205143807
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1295836138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD.",
            "address_2": "SUITE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-991-0591",
            "fax_number": "619-955-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD.",
            "address_2": "SUITE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-991-0591",
            "fax_number": "619-955-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-REIMANN",
        "first_name": "DOLORES",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 17124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY17124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Manuel Rodriguez Bayardo
• Diamond Justine Rodriguez Cedeno
• Teresa Rodriguez Celis, RSLD
• Mauxi Rodriguez Jimenez, NP
• Josue Rodriguez Mora
• Adilene Rodriguez
• Adraly Virginia Rodriguez
• Angela Maria Rodriguez
• Ashley Angelina Rodriguez
• Aurea C Rodriguez

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.