Stephanie Mojena Rodriguez, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39236 Issued in TX

Practice address

1225 Ave Ponce de Leon
San Juan, PR 00907-3907

Phone

(939) 545-8880

NPI assigned

Sep 14, 2022

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindful Recovery Center, LLC

  • Adult Mental Health Clinic/Center
  • San Juan, PR
  • NPI 1952139289
  NPD Authorized official
• Saint Lukes Memorial Hospital Inc

  dba Clinica SRVS. Psicologico San Lucas

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1962219683
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1386366631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073907",
            "telephone_number": "787-366-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073907",
            "telephone_number": "939-545-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJENA RODRIGUEZ",
        "first_name": "STEPHANIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7766",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMT Medical Supply Corp.
• Veda Leonor Mockford, LMT
• Modern Cardiology Associates
• Modern Radiology, PSC
• Moh Peds Oto CSP
• Yoliann Mojica Algarin, MS
• Paola Mojica Claudio
• Vladimir Mojica Diaz
• Argenys Mojica Gomez
• Lorelys H Mojica Gonzalez, DC

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Jul 26, 2024; 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.

Verify at the official NPI Registry.