Lyllymar Colon Rodriguez

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10960 Issued in FL

Practice address

100 NE 15TH St Ste 101D
Homestead, FL 33030-4564

Phone

(833) 779-8646

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Female

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

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ingrid Roman PSYD PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1679908164
  Medicare reassignment NPD
• LC Therapy Services, Inc.

  • Psychologist
  • Miami, FL
  • NPI 1154119964
  NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1720683345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15590 SW 106TH LN APT 1106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963503",
            "telephone_number": "786-246-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 101D",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304564",
            "telephone_number": "833-779-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RODRIGUEZ",
        "first_name": "LYLLYMAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "10960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosendo Collazo, D.O.
• Angel Collins, LAC
• Martesha Daesha Collins
• Juan Gabriel Colome, OTR/L
• Aleyka Colon Perea
• Lesmer Colon
• Gloria Milena Colorado Botero
• Colourful Minds LLC
• Ketis Columbie Castillo
• Mayrelis Comas Jimenez

• Psychologist in Homestead, FL
• Providers in Homestead, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.