Active NPI
Stephanie C. Rodrigues, PHD
- Clinical Psychologist
- Brick, NJ
National Provider Identifier
1629408414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00641300
- Practice address
- 970 NJ-70
Brick, NJ 08724 - Phone
- (732) 206-8900
- NPI assigned
- Nov 15, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS01403 | RI | |
| Clinical Psychologist | 103TC0700X | 35SI00641300 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 9798 | MA |
Addresses
Primary practice location
970 NJ-70
Brick, NJ 08724
Mailing address
970 NJ-70
Brick, NJ 08724
Phone (732) 206-8900
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00641300 | NJ | MD | Clinical Psychologist |
| PS01403 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Orange Vamc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Toms River, NJ
- NPI 1780632802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1629408414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 NJ-70",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-206-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 NJ-70",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-206-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "STEPHANIE",
"middle_name": "C.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2023-07-24",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01403",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00641300",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.