Active NPI
Renzo Rodriguez
- Psychiatric/Mental Health Nurse Practitioner
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11035159
- Practice address
- 600 Sandtree Dr Ste 202C
Palm Beach Gardens, FL 33403-1538 - Phone
- (561) 203-1655
- NPI assigned
- Sep 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11035159 | FL | Primary |
Addresses
Primary practice location
600 Sandtree Dr Ste 202C
Palm Beach Gardens, FL 33403-1538
Mailing address
7901 4TH St N # 24027
St Petersburg, FL 33702-4305
Phone (561) 203-1655
Other practice location 1
5400 S University Dr Ste 308
Davie, FL 33328-5310
Phone (954) 378-5381
Other practice location 2
2813 Executive Park Dr Ste 134
Weston, FL 33331-3603
Phone (954) 385-9550
Other practice location 3
4590 Pga Blvd Ste 204
Palm Beach Gardens, FL 33418-3938
Phone (954) 378-5381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11035159 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Patterson, LMHC, LLC | Current | Accepting new patients | |
| Thought Bridge Mental Health and Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
5400 S University Dr
Ste 308
Davie, FL 33328
Phone (978) 378-5381
8461 Lake Worth Rd
#470
Lake Worth, FL 33467
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4590 Pga Blvd
Ste 204
Palm Beach Gardens, FL 33418
Phone (561) 223-1066
600 Sandtree Dr
Ste 202C
Palm Beach Gardens, FL 33403
Phone (561) 445-7672
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Palm Beach Gardens, FL
- NPI 1376368639
-
- Mental Health Counselor
- Davie, FL
- NPI 1265815351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1376379347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N # 24027",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "561-203-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SANDTREE DR STE 202C",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334031538",
"telephone_number": "561-203-1655"
}
],
"practiceLocations": [
{
"address_1": "5400 S University Dr Ste 308",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333285310",
"country_code": "US",
"telephone_number": "954-378-5381",
"fax_number": "954-378-5381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2813 Executive Park Dr Ste 134",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333313603",
"country_code": "US",
"telephone_number": "954-385-9550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4590 Pga Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334183938",
"country_code": "US",
"telephone_number": "954-378-5381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RENZO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11035159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.