Jeremy Swan Rodriguez Camejo, PHD
Individual provider Active NPI Clinical Psychologist · Carolina, PR
NPI 1366098766 · NPPES record last updated Aug 13, 2019
Key facts
- NPI
- 1366098766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6282 (PR)
- Practice address
- BF21 Calle 110
Jardines de Country Club
Carolina, PR 00983 - Phone
- (787) 949-4153
- NPI assigned
- Aug 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HPM Foundation Inc
Practice addresses (Care Compare)
47 Calle Benitez Guzman
Vieques, PR 00765-3029
Phone (787) 268-4171
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628000655 | PR | Practitioner - Clinical Psychologist | 5193126290 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6282 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPM Foundation Inc | Current |
Accepting new patients | |
| HPM Foundation Inc | Past | Accepting new patients | |
| HPM Foundation Inc | Past |
Accepting new patients |
Locations
AB20 Calle Morera
Carolina, PR 00983
Phone (787) 468-2966
Interoperability endpoints
- jeremy.rodriguez@hpmpr.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6282 | PR | Yes |
Addresses
Primary practice location
BF21 Calle 110
Jardines de Country Club
Carolina, PR 00983
Mailing address
BF21 Calle 110
Jardines de Country Club
Carolina, PR 00983
Phone (787) 949-4153
Other providers in Carolina, PR
- Pilar Robles
- Roc Dental Services, P.SC.
- Maria del Amor Rodriguez Alonso
- Yazmin Dalia Rodriguez Bautista
- Vincent X Rodriguez Bury
- Francis J. Rodriguez Carrasquillo
- Carla Nicole Rodriguez Cortes
- Miguel Rodriguez Cruz
- Ileana C Rodriguez Delgado
- Ricardo Luis Rodriguez Delgado
All providers in Carolina, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.