Individual provider Active NPI

Ashley Rodriguez, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1689100588
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024968 Issued in NY
Practice address
546 Main St Apt 816
New York, NY 10044-0041
Phone
(929) 244-0214
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024968 NY Primary

Addresses

Primary practice location

546 Main St Apt 816
New York, NY 10044-0041

Mailing address

228 Park Ave S
New York, NY 10003-1502

Other practice location 1

397 Bridge St
Brooklyn, NY 11201-5292
Phone (914) 229-2868

Other practice location 2

205 Lexington Ave Fl 10
New York, NY 10016-6020
Phone (212) 335-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003160 NY Order and Referring Only - Clinical Psychologist 1456795970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024968NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children Services Past Accepting new patients
TMC Psychiatry, P.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1689100588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 MAIN ST APT 816",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440041",
            "telephone_number": "929-244-0214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015292",
            "country_code": "US",
            "telephone_number": "914-229-2868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Lexington Ave Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166020",
            "country_code": "US",
            "telephone_number": "212-335-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ASHLEY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.