Jeremy Swan Rodriguez Camejo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6282 Issued in PR

Practice address

BF21 Calle 110
Jardines de Country Club
Carolina, PR 00983

Phone

(787) 949-4153

NPI assigned

Aug 13, 2019

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HPM Foundation IncGroup PAC ID 3870629579, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.rodriguez@hpmpr.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
  • NPI 1316167661
  Medicare reassignment Care Compare group
• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Carolina, PR
  • NPI 1205200367
  NPD
• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Culebra, PR
  • NPI 1396965679
  NPD (past)
• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Guaynabo, PR
  • NPI 1477191096
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1366098766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BF21 CALLE 110",
            "address_2": "JARDINES DE COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-949-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BF21 CALLE 110",
            "address_2": "JARDINES DE COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-949-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ CAMEJO",
        "first_name": "JEREMY",
        "middle_name": "SWAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilar Robles, RNBSN
• Roc Dental Services, P.SC.
• Maria del Amor Rodriguez Alonso, PH.D.
• Yazmin Dalia Rodriguez Bautista
• Vincent X Rodriguez Bury, M.D.
• Francis J. Rodriguez Carrasquillo, R.P.T
• Carla Nicole Rodriguez Cortes, MA
• Miguel Rodriguez Cruz, M.D.
• Ileana C Rodriguez Delgado, MD
• Ricardo Luis Rodriguez Delgado, M.D.

• Clinical Psychologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.