Julieta Raquel Rodriguez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6411 Issued in FL

Practice address

15715 S Dixie Hwy Ste 406
Miami, FL 33157-1812

Phone

(786) 255-4693

NPI assigned

Feb 12, 2007

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Julieta Rodriguez PA

  • Clinical Psychologist
  • Miami Beach, FL
  • NPI 1790950236
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1528100179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571812",
            "telephone_number": "786-255-4693",
            "fax_number": "305-672-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571812",
            "telephone_number": "786-255-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JULIETA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298947",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Hermenegildo Rodriguez, SLP, BCBA
• Juan Rodriguez, HEALTH COACH
• Juana Pastora Rodriguez
• Judith Rodriguez, RMHCI, BCBA
• Julia Rodriguez
• Julio Alejandro Rodriguez, D.D.S.
• Junior Rodriguez, PTA
• Karelia Rodriguez
• Karen Rodriguez, OTR
• Karen Rodriguez, FNP

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.