Individual provider Active NPI

Josephina Rodriguez

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1356473664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC43107 Issued in CA
Practice address
1400 K St
Modesto, CA 95354-1018
Phone
(209) 550-5869
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC43107 CA Primary

Addresses

Primary practice location

1400 K St
Modesto, CA 95354-1018

Mailing address

2724 Winged Foot Way
Modesto, CA 95355-9628

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240126004050 CA Practitioner - Marriage and Family Therapist 0547613473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21 N El Circulo Ave
Patterson, CA 95363-2535
Phone (209) 554-6808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC43107CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Family Resource Center CurrentSince Jan 16, 2024 Accepting new patients
New Beginnings Child, Adolescent and Family Counseling Inc Marriage & Family Therapist CurrentSince Jan 16, 2024 Accepting new patients

Locations

800 Coffee Rd
Modesto, CA 95355
Phone (209) 554-6808

21 N El Circulo Ave
Patterson, CA 95363
Phone (209) 554-6808

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356473664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 WINGED FOOT WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 K ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541018",
            "telephone_number": "209-550-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSEPHINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC43107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.