Active NPI
Rodrigo Sebastian Munoz, PSYD.
- Clinical Psychologist
- Mount Vernon, NY
National Provider Identifier
1720960073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27412
- Practice address
- 3 S 6TH Ave
Mount Vernon, NY 10550-3197 - Phone
- (914) 361-7238
- Fax
- (914) 668-0164
- NPI assigned
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810009198 | VA | |
| Clinical Psychologist | 103TC0700X | 40944 | TX | |
| Clinical Psychologist | 103TC0700X | PSY.0006962 | CO | |
| Clinical Psychologist | 103TC0700X | B1-0011541 | DE | |
| Clinical Psychologist | 103TC0700X | 5452-57 | WI | |
| Clinical Psychologist | 103TC0700X | 27412 | NY | Primary |
Addresses
Primary practice location
3 S 6TH Ave
Mount Vernon, NY 10550-3197
Mailing address
603 Homestead Ave
Peekskill, NY 10566-5409
Phone (786) 728-6009
Other practice location 1
1400 Main St Ste 101
Louisville, CO 80027-3046
Phone (720) 684-9845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125001334 | NY | Practitioner - Clinical Psychologist | 1355833526 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1-0011541 | DE | MD | Clinical Psychologist |
| 27412 | NY | MD | Clinical Psychologist |
| 5452-57 | WI | MD | Clinical Psychologist |
| 40944 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
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 and National Provider Directory roles.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1508325184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1720960073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 HOMESTEAD AVE",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105665409",
"telephone_number": "786-728-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 S 6TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105503197",
"telephone_number": "914-361-7238",
"fax_number": "914-668-0164"
}
],
"practiceLocations": [
{
"address_1": "1400 Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "CO",
"postal_code": "800273046",
"country_code": "US",
"telephone_number": "720-684-9845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNOZ",
"first_name": "RODRIGO",
"middle_name": "SEBASTIAN",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-25",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810009198",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "40944",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0006962",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0011541",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "5452-57",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "27412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.