Active NPI
Yina Reyes-Rodriguez
- Clinical Psychologist
- Paramus, NJ
National Provider Identifier
1770959850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00617900
- Practice address
- 140 E Ridgewood Ave
Suite 415 Office 456
Paramus, NJ 07652-3915 - Phone
- (718) 942-6595
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 35SI00617900 | NJ | Primary |
Addresses
Primary practice location
140 E Ridgewood Ave
Suite 415 Office 456
Paramus, NJ 07652-3915
Mailing address
140 E Ridgewood Ave
Suite 415 Office 456
Paramus, NJ 07652-3915
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00617900 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1770959850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE",
"address_2": "SUITE 415 OFFICE 456",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE",
"address_2": "SUITE 415 OFFICE 456",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523915",
"telephone_number": "718-942-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES-RODRIGUEZ",
"first_name": "YINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00617900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.