Martin Emigdio Rodriguez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2935 4TH St
Ceres, CA 95307-3222

Phone

(209) 531-2088

NPI assigned

Sep 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Elite Family Systems

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceres, CA
  • NPI 1346820818
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1710607304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BEWLEY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514630",
            "telephone_number": "209-262-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 4TH ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073222",
            "telephone_number": "209-531-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARTIN",
        "middle_name": "EMIGDIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Bradley Roberts
• Shirley Celajes Robinson, LCSW
• Alissa Rodriguez Escobedo
• Anna Rodriguez
• Emily Marlene Rodriguez
• Steven Paul Rodriguez
• Israel Rosa
• Adrian Ruiz
• Felix Ruiz Jr.
• Irene Cathleena Ruiz

• Mental Health Counselor in Ceres, CA
• Providers in Ceres, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.