Individual provider Active NPI

Tomas Rodriguez, PHD ANP-C PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Houston, TX
National Provider Identifier
1740354596
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
548373 Issued in TX
Practice address
13201 Northwest Fwy Ste 770
Houston, TX 77040-6233
Phone
(713) 523-4333
Fax
(713) 523-4493
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 548373 TX
Gerontology Clinical Nurse Specialist 364SG0600X 548373 TX
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 548373 TX Primary

Addresses

Primary practice location

13201 Northwest Fwy Ste 770
Houston, TX 77040-6233

Mailing address

13201 Northwest Fwy Ste 770
Houston, TX 77040-6233
Phone (713) 523-4333

Other names 1

  • Dr. Tom Rodriguez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000188 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 4880751148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13201 Northwest Fwy
Suite 770
Houston, TX 77040-6233
Phone (713) 523-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
548373TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Mind-Body Counseling, LLC Adult Health CurrentSince Dec 21, 2009 Accepting new patients

Locations

1919 North Loop W
Ste 130
Houston, TX 77008
Phone (713) 523-4333

13201 Northwest Fwy
Ste 770
Houston, TX 77040
Phone (281) 814-0588

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1740354596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 NORTHWEST FWY STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406233",
            "telephone_number": "713-523-4333",
            "fax_number": "713-523-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 NORTHWEST FWY STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406233",
            "telephone_number": "713-523-4333",
            "fax_number": "713-523-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "PHD ANP-C PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "548373",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "548373",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "548373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "RODRIGUEZ",
            "prefix": "DR.",
            "credential": "PHD, RN, NP, CNS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.