Active NPI
Jennifer Lynn Rodriguez, PSYD
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1336397652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY13109
- Practice address
- 360 Central Ave Ste 1230
St Petersburg, FL 33701-3865 - Phone
- (727) 565-2424
- NPI assigned
- Aug 28, 2008
- 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 | PY13109 | FL | Primary |
Addresses
Primary practice location
360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Mailing address
808 N Franklin St Unit 1001
Tampa, FL 33602-3816
Phone (813) 842-4804
Other practice location 1
4175 Lakeside Dr
Ste 110
Richmond, CA 94806-5774
Phone (510) 262-6551
Other practice location 2
10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perkins Counseling and Psychological Services, PLLC | Mental Health | Past | Accepting new patients |
| Saible Neuropsychology LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- St Petersburg, FL
- NPI 1891227047
-
- Mental Health Counselor
- Wake Forest, NC
- NPI 1750641213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1336397652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 N FRANKLIN ST UNIT 1001",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023816",
"telephone_number": "813-842-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 CENTRAL AVE STE 1230",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013865",
"telephone_number": "727-565-2424"
}
],
"practiceLocations": [
{
"address_1": "4175 Lakeside Dr",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948065774",
"country_code": "US",
"telephone_number": "510-262-6551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10580 Ligon Mill Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275876090",
"country_code": "US",
"telephone_number": "919-263-9592",
"fax_number": "919-263-9670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY13109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.