Individual provider Active NPI

Miguel Antonio Espinal Rodriguez, PH.D.

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1679740930
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 7285 Issued in FL
Practice address
1475 Willow Branch Dr
Orlando, FL 32828-7456
Phone
(917) 721-9566
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 7285 FL Primary

Addresses

Primary practice location

1475 Willow Branch Dr
Orlando, FL 32828-7456

Mailing address

1475 Willow Branch Dr
Orlando, FL 32828-7456
Phone (917) 721-9566

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090805000343 FL Practitioner - Clinical Psychologist 2567515703 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Behavioral Health LLCGroup PAC ID 2668984675, 38 clinicians

Practice addresses (Care Compare)

232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329

5406 Hoover Blvd
Suite 18
Tampa, FL 33634-5330
Phone (866) 770-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 7285FLMDClinical Psychologist
8380NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus County Rural Health Inc CurrentSince Sep 1, 2025 Accepting new patients
Ace Behavioral Health LLC CurrentSince May 1, 2025 Accepting new patients

Locations

927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (866) 770-4104

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1679740930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WILLOW BRANCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287456",
            "telephone_number": "917-721-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 WILLOW BRANCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287456",
            "telephone_number": "917-721-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINAL RODRIGUEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.