Active NPI
Leslie N. Rodrigues, PH.D.
- Clinical Child & Adolescent Psychologist
- Birmingham, AL
National Provider Identifier
1770810046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1566
- Practice address
- 100 Centerview Dr
Suite 190
Birmingham, AL 35216-3747 - Phone
- (205) 453-9228
- NPI assigned
- Nov 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1566 | AL | Primary |
Addresses
Primary practice location
100 Centerview Dr
Suite 190
Birmingham, AL 35216-3747
Mailing address
100 Centerview Dr
Suite 190
Birmingham, AL 35216-3747
Phone (205) 453-9228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1566 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257552000000",
"number": "1770810046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTERVIEW DR",
"address_2": "SUITE 190",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352163747",
"telephone_number": "205-453-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTERVIEW DR",
"address_2": "SUITE 190",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352163747",
"telephone_number": "205-453-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "LESLIE",
"middle_name": "N.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-07",
"last_updated": "2009-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AL",
"license": "1566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.