Individual provider Active NPI

Renzo Rodriguez

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1376379347
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11035159 Issued in FL
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

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000115 FL Practitioner - Nurse Practitioner 8224558044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11035159FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Patterson, LMHC, LLC CurrentSince Dec 10, 2023 Accepting new patients
Thought Bridge Mental Health and Wellness Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 21, 2025 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.

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

Verify at the official NPI Registry.