Active NPI
Orlando Rodriguez, PHD
- Clinical Psychologist
- Mission, TX
National Provider Identifier
1316125537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36473
- Practice address
- 901 Travis St Ste 1
Mission, TX 78572-2515 - Phone
- (956) 997-0060
- Fax
- (956) 997-0526
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- 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 | 36473 | TX | Primary |
Addresses
Primary practice location
901 Travis St Ste 1
Mission, TX 78572-2515
Mailing address
4205 Tyler Ave
McAllen, TX 78503-8222
Other practice location 1
1208 S Westgate Dr
Weslaco, TX 78596-9304
Phone (956) 472-9234
Other practice location 2
2504 N Conway Ave
Mission, TX 78574-2349
Phone (956) 519-9000
Other practice location 3
2000 E Business Highway 83
Mission, TX 78572
Phone (956) 997-0060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12512454 | Other | TX | CAQH |
| 190573906 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171017003745 | TX | Practitioner - Psychologist Billing Independently | 3476829508 | Practice locations: Mission, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Psychological Center, P.a. | Past | Accepting new patients | |
| Asap Medical Equipment & Supply | Past | Accepting new patients | |
| Hill Living Well, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Mission, TX
- NPI 1063448819
-
- Professional Counselor
- Weslaco, TX
- NPI 1609987775
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission, TX
- NPI 1730219007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1316125537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 TYLER AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785038222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 TRAVIS ST STE 1",
"city": "MISSION",
"state": "TX",
"postal_code": "785722515",
"telephone_number": "956-997-0060",
"fax_number": "956-997-0526"
}
],
"practiceLocations": [
{
"address_1": "1208 S Westgate Dr",
"address_purpose": "LOCATION",
"city": "Weslaco",
"state": "TX",
"postal_code": "785969304",
"country_code": "US",
"telephone_number": "956-472-9234",
"fax_number": "956-968-1402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2504 N Conway Ave",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785742349",
"country_code": "US",
"telephone_number": "956-519-9000",
"fax_number": "956-519-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 E Business Highway 83",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "78572",
"country_code": "US",
"telephone_number": "956-997-0060",
"fax_number": "956-997-0526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ORLANDO",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12512454",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190573906",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.