NPIMap

Individual provider Active NPI

Rebecca M Resendiz Rodriguez, PSYD

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1437469574
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006310 Issued in CO
Practice address
1890 N Revere CT
Aurora, CO 80045-7464
Phone
(303) 724-1646
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-009120 IL
Clinical Psychologist 103TC0700X 38612 TX
Clinical Psychologist 103TC0700X PSY.0006310 CO Primary

Addresses

Primary practice location

1890 N Revere CT
Aurora, CO 80045-7464

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

3115 Center Point Dr
Edinburg, TX 78539-8433
Phone (956) 296-1987

Other practice location 2

512 Victoria Ln Ste 13
Harlingen, TX 78550-3228
Phone (956) 296-3821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003665 CO Practitioner - Clinical Psychologist 8921308180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

1890 N Revere CT
Cu Medicine Psych Anschutz Medical Campus
Aurora, CO 80045-2570
Phone (303) 724-1000

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-009120ILMDClinical Psychologist
38612TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Current Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jan 4, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince Apr 1, 2024 Accepting new patients
University Physicians Incorporated CurrentSince Apr 1, 2024 Accepting new patients
The University of Texas Rio Grande Valley Clinical CurrentSince Jan 4, 2021 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1635 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (720) 848-1060

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1890 N Revere Ct
Ste 5003
Aurora, CO 80045
Phone (218) 275-0150

1890 N Revere Ct
#5003
Aurora, CO 80045

1890 N Revere Ct
Aurora, CO 80045
Phone (303) 724-1000

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

Dept 1061
Denver, CO 80256

3115 Center Point Dr
Edinburg, TX 78539
Phone (956) 296-1834

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

512 Victoria Ln
Ste 13
Harlingen, TX 78550
Phone (956) 296-3821

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Organizations & group practices 6

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1437469574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N REVERE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457464",
            "telephone_number": "303-724-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Center Point Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398433",
            "country_code": "US",
            "telephone_number": "956-296-1987",
            "fax_number": "956-630-0074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Victoria Ln Ste 13",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785503228",
            "country_code": "US",
            "telephone_number": "956-296-3821",
            "fax_number": "956-296-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESENDIZ RODRIGUEZ",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-009120",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.