Active NPI
Isabelle A Rodriguez, PHD
- School Psychologist
- Albuquerque, NM
National Provider Identifier
1508972084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 262285
- Practice address
- 4425 Juan Tabo NE
Suite 207
Albuquerque, NM 87111-2687 - Phone
- (505) 881-5178
- Fax
- (505) 293-7593
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0146 | NM | |
| Psychologist | 103T00000X | 262285 | NM | |
| School Psychologist | 103TS0200X | 262285 | NM | Primary |
Addresses
Primary practice location
4425 Juan Tabo NE
Suite 207
Albuquerque, NM 87111-2687
Mailing address
4721 Paso del Puma NE
Albuquerque, NM 87111-3076
Phone (505) 881-5178
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103633 | Other | NM | VALUE OPTIONS COMMERCIAL |
| VNM0243 | Other | NM | VALUE OPTIONS VENDER # |
| 201012180 | Other | NM | PRESBYTERIAN |
| A002 | Other | NM | TRICARE |
Other names 1
- Isabelle A Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0146 | NM | MD | Professional Counselor |
| 262285 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1508972084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 PASO DEL PUMA NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113076",
"telephone_number": "505-881-5178",
"fax_number": "505-293-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 JUAN TABO NE",
"address_2": "SUITE 207",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112687",
"telephone_number": "505-881-5178",
"fax_number": "505-293-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ISABELLE",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0146",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "262285",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "262285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS COMMERCIAL",
"identifier": "103633",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS VENDER #",
"identifier": "VNM0243",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "201012180",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELLE",
"last_name": "RODRIGUEZ",
"middle_name": "A",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.