Individual provider Active NPI

Lilliam Rodriguez, PHD

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1821375213
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022499 Issued in NY
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

Updated by the provider on Jun 28, 2018

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 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, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180405000328 NY Practitioner - Clinical Psychologist 3678836640 Reassigns benefits to 1 organization
I20180920003242 CT Practitioner - Clinical Psychologist 3678836640 Reassigns benefits to 7 organizations

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
Carend Provider Group PAGroup PAC ID 2264827518, 26 clinicians
Carend Provider Group of New Jersey PCGroup PAC ID 4082082789, 13 clinicians
Carend Provider Group of Kansas PAGroup PAC ID 2961843198, 8 clinicians
Care Neurodegenerative Medical of New York PCGroup PAC ID 7618329475, 14 clinicians

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

LicenseStateTypeSpecialty
3755CTMDClinical Social Worker
022499NYMDSpeech-Language Pathologist
003755CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carend Provider Group PA CurrentSince May 12, 2024 Accepting new patients
Carend Provider Group of Kansas PA CurrentSince Apr 13, 2024 Accepting new patients
Carend Provider Group of New Jersey PC CurrentSince May 8, 2024 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Aug 4, 2018 Accepting new patients
Step Up Care PC LLC Clinical CurrentSince Apr 22, 2019 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Trinity Medical Wny PC CurrentSince Aug 1, 2021 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.

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

Verify at the official NPI Registry.