Individual provider Active NPI

Janette Rodriguez, PSY.D.

  • Clinical Psychologist
  • Jupiter, FL
National Provider Identifier
1356653539
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8153 Issued in FL
Practice address
725 N Highway A1A Ste A104
Jupiter, FL 33477-4561
Phone
(305) 417-7808
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 PY8153 FL Primary

Addresses

Primary practice location

725 N Highway A1A Ste A104
Jupiter, FL 33477-4561

Mailing address

7520 NW 5TH St Ste 200F
Plantation, FL 33317-1613
Phone (305) 417-7808

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

State licenses

LicenseStateTypeSpecialty
PY8153FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Amica Clinical Consulting PLLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2929 N University Dr
Ste 105
Coral Springs, FL 33065
Phone (954) 434-1886

8958 W State Road 84
Davie, FL 33324
Phone (754) 777-0917

725 North Rd
Ste A104
Jupiter, FL 33477
Phone (561) 446-0446

7520 NW 5th St
Ste 200F
Plantation, FL 33317

Interoperability endpoints

  • Direct secure messaging: janetterodriguez@tdh.allscriptsdirect.net

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": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1356653539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 NW 5TH ST STE 200F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171613",
            "telephone_number": "305-417-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE A104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774561",
            "telephone_number": "305-417-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JANETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.