Carlos Rodriguez, PH.D., P.C.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1004 Issued in CO

Legal business name

CARLOS RODRIGUEZ, PH.D., P.C.

Practice address

1301 W 17TH St
Pueblo, CO 81003-1915

Phone

(719) 545-5211

Fax

(719) 545-1962

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Jose Rodriguez, PH.D

Title

Psychologist

Phone

(719) 545-5211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Beginnings Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann Penland, PH.D.

  • Adult Development & Aging Psychologist
  • Rio Rancho, NM
  • NPI 1558436964
  NPD (past)
• Jose G. Vega, PHD

  • Psychologist
  • Lufkin, TX
  • NPI 1952330441
  NPD (past)

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1811322969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3336",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810050336",
            "telephone_number": "719-545-5211",
            "fax_number": "719-545-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 17TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031915",
            "telephone_number": "719-545-5211",
            "fax_number": "719-545-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS RODRIGUEZ, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-545-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07109952",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caring Hearts
• Lindsay Carleton
• Robert Louis Carlisle, M.D.
• Michelle Carlo, RDH
• Darla Marie Carlock, PTA, CCI
• Aileen Carlos, FNP
• Carlotta J. Fendrich, LLC
• Jasmine N Carlson, MS, LPC
• Carmel Community Living Corporation
• Rae Carnevale

• Counseling Psychologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.