Elsie Maria Rodriguez Palermo, PSYD, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5990 Issued in PR

Practice address

445 Gonzalez Clemente Ave
Val Harbour Plaza Suite 301
Mayaguez, PR 00682

Phone

(787) 610-5821

NPI assigned

Sep 4, 2018

Last updated

Jun 8, 2021By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Rebirth Psychology Therapy Center

  • Counseling Psychologist
  • Mayaguez, PR
  • NPI 1760044226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1528540861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230043",
            "telephone_number": "787-610-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GONZALEZ CLEMENTE AVE",
            "address_2": "VAL HARBOUR PLAZA SUITE 301",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-610-5821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 2 Km 159.0",
            "address_2": "Office Park 349 Medical Emporium Suite 201",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-602-5066",
            "fax_number": "787-986-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PALERMO",
        "first_name": "ELSIE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PSYD, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5990",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5990",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naixa Mari Rodriguez Gonzalez, MS
• Kevin Michael Rodriguez Hernandez, MD
• Michelle Stephanie Rodriguez Lugo
• Carlos J Rodriguez Matos
• Milagros Rodriguez Negron, BSPH
• Edwin Rodriguez Perez, M.A.
• Jalitza Rodriguez Quiles, PHARMD
• Yancy I Rodriguez Reyes
• Selena Marie Rodriguez Rivera
• Denisse Maria Rodriguez Rodriguez, PHARMD

• Clinical Psychologist in Mayaguez, PR
• Providers in Mayaguez, 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 Jun 8, 2021; 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.