Ryan Edward Rodrigues

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

792 S Main St Ste 102
Mansfield, MA 02048-3137

Phone

(774) 331-8224

NPI assigned

Sep 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1407407620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 WASHINGTON ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S MAIN ST STE 102",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483137",
            "telephone_number": "774-331-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT CONNECTOR CARE 2",
            "identifier": "N0172263001",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ryanrodrigues165@gmail.com",
            "affiliation": "N",
            "address_1": "184 Washington St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027403244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ryanrodrigues165@gmail.com",
            "affiliation": "N",
            "address_1": "184 Washington St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027403244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ryanrodrigues165@gmail.com",
            "affiliation": "N",
            "address_1": "184 Washington St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027403244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counselor in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.