Active NPI
Lilliam Rodriguez, PHD
- Clinical Psychologist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022499
- Practice address
- 701 SW 27TH Ave
Suite G20
Miami, FL 33135 - Phone
- (305) 643-7800
- Fax
- (305) 643-1345
- NPI assigned
- Nov 14, 2011
- 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 | 022499 | NY | Primary |
Addresses
Primary practice location
701 SW 27TH Ave
Suite G20
Miami, FL 33135
Mailing address
23 Harris St
Norwalk, CT 06850-2031
Phone (954) 740-9662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Bolton, CT 06043
Phone (708) 872-7108
Norwalk, CT 06850
Phone (708) 872-7108
23 Harris St
Norwalk, CT 06850-2031
Phone (708) 872-7108
90 Brandy St
Bolton, CT 06043-7602
Phone (708) 872-7108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3755 | CT | MD | Clinical Social Worker |
| 022499 | NY | MD | Speech-Language Pathologist |
| 003755 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carend Provider Group PA | Current | Accepting new patients | |
| Carend Provider Group of Kansas PA | Current | Accepting new patients | |
| Carend Provider Group of New Jersey PC | Current | Accepting new patients | |
| Sunrise Psychological Services LLC | Current | Accepting new patients | |
| Step Up Care PC LLC | Clinical | Current | Accepting new patients |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Miami Behavioral Health Center Inc | Past | Accepting new patients |
Locations
55 Grand St
New Britain, CT 06052
Phone (845) 459-5767
494 Elm St
Stamford, CT 06902
Phone (203) 325-0200
439 Danbury Rd
Wilton, CT 06897
Phone (203) 834-0190
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503
2950 Elmwood Ave
Ste A1
Kenmore, NY 14217
Phone (716) 529-3070
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Organizations & group practices 10
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.
-
- Neurology Physician
- Staten Island, NY
- NPI 1295417632
CT
-
- Psychologist
- Prospect, CT
- NPI 1699199869
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
-
- Mental Health Counselor
- Coral Gables, FL
- NPI 1457319451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1821375213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HARRIS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068502031",
"telephone_number": "954-740-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SW 27TH AVE",
"address_2": "SUITE G20",
"city": "MIAMI",
"state": "FL",
"postal_code": "33135",
"telephone_number": "305-643-7800",
"fax_number": "305-643-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LILLIAM",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.