Individual provider Active NPI

Orlando Rodriguez, PHD

  • Clinical Psychologist
  • Mission, TX
National Provider Identifier
1316125537
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36473 Issued in TX
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

Updated by the provider on May 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12512454OtherTXCAQH
190573906MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Mission Psychological Center, P.a. PastSince Apr 1, 1998 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.

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.

Verify at the official NPI Registry.