Active NPI
Miriam Jocelyn Rodriguez, PHD
- Clinical Neuropsychologist
- Doral, FL
National Provider Identifier
1619398419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY9391
- Practice address
- 2173 NW 99TH Ave
Doral, FL 33172-2231 - Phone
- (305) 593-1223
- NPI assigned
- Dec 20, 2013
- Last updated
- Apr 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY9391 | FL | Primary |
Addresses
Primary practice location
2173 NW 99TH Ave
Doral, FL 33172-2231
Mailing address
2173 NW 99TH Ave
Doral, FL 33172-2231
Phone (305) 593-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9391 | FL | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miriam J Rodriguez, LLC | Current | Accepting new patients | |
| Bird of Paradise Psychological Services PA | Current | Accepting new patients |
Locations
4300 N University Dr
Ste C203
Lauderhill, FL 33351
Phone (954) 742-5800
7051 W Commercial Blvd
Ste 3A
Lauderhill, FL 33319
Phone (954) 720-0412
Interoperability endpoints
- miriam.rodriguez.1@30520.direct.athenahealth.com
Organizations & group practices 2
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.
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- Tamarac, FL
- NPI 1184886624
-
- Clinical Psychologist
- Miami, FL
- NPI 1033614441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1619398419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2173 NW 99TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331722231",
"telephone_number": "305-593-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2173 NW 99TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331722231",
"telephone_number": "305-593-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MIRIAM",
"middle_name": "JOCELYN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY9391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.