NPIMap

Individual provider Active NPI

Melanie Angeline Rodriguez, PHDPSY

  • Clinical Psychologist
  • Gurabo, PR
National Provider Identifier
1801455183
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6895 Issued in PR
Practice address
Carr 941 Salida Bo Jaguas Calle San Antonio Final
Gurabo, PR 00778
Phone
(787) 737-2311
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6895 PR Primary

Addresses

Primary practice location

Carr 941 Salida Bo Jaguas Calle San Antonio Final
Gurabo, PR 00778

Mailing address

Calle Perseo 501 Condominio Centro de Altamira
Suite 203
Guaynabo, PR 00920
Phone (787) 675-0663

Other practice location 1

Calle Perseo 501 Condominio Centro de Altamira
Suite 203
Guaynabo, PR 00920
Phone (787) 675-0663

Other identifiers 1

IdentifierTypeStateIssuer
4927068OtherPROTHER

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http://www.neomedcenter.org/neomed-center-gurabo/ Direct
CONNECT URL Guaynabo Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
6895PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1801455183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PERSEO 501 CONDOMINIO CENTRO DE ALTAMIRA",
            "address_2": "SUITE 203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-675-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 941 SALIDA BO JAGUAS CALLE SAN ANTONIO FINAL",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Perseo 501 Condominio Centro de Altamira",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00920",
            "country_code": "US",
            "telephone_number": "787-675-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MELANIE",
        "middle_name": "ANGELINE",
        "name_prefix": "Mrs.",
        "credential": "PHDPSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-06-17",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "4927068",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.neomedcenter.org/neomed-center-gurabo/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carr. 941 Salida Bo. Jaguas Calle San Antonio Final",
            "city": "Gurabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Guaynabo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Guaynabo",
            "address_1": "Calle Perseo 501 Condominio Centro de Altamira",
            "address_2": "Suite 203",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.