Miguelina M Rodriguez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014288-01 Issued in NY

Practice address

South Beach Psychiatric Center 777 Seaview Avenue
Bridgeview 5a/B
Staten Island, NY 10305

Phone

(718) 667-2600

Fax

(718) 667-2613

NPI assigned

Jan 11, 2007

Last updated

Mar 8, 2023By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1558411876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH BEACH PSYCHIATRIC CENTER 777 SEAVIEW AVENUE",
            "address_2": "BRIDGEVIEW 5A/B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "646-552-7078",
            "fax_number": "718-667-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH BEACH PSYCHIATRIC CENTER 777 SEAVIEW AVENUE",
            "address_2": "BRIDGEVIEW 5A/B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-667-2600",
            "fax_number": "718-667-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIGUELINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014288-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2631180",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP OF NEW YORK",
            "identifier": "014288N01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Michelle Rodriguez, LCSW
• Kristine Rodriguez, TSSLD
• Lauren Grace Rodriguez
• Leylanie Michelle Rodriguez, LMSW
• Lisa Marie Rodriguez
• Nairee Lea Rodriguez
• Pamela Zoe Rodriguez
• Sindia Gianina Rodriguez
• Victoria Rodriguez, CMHC
• Lenora Rodriquez

• Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.