Active NPI
Bunny Catherina Rodriguez, M.S.W., L.A.D.C.
- Addiction (Substance Use Disorder) Counselor
- New Haven, CT
National Provider Identifier
1821696675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1389
- Practice address
- 54 E Ramsdell St
New Haven, CT 06515-1140 - Phone
- (203) 337-9943
- Fax
- (203) 337-4395
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1389 | CT | Primary |
Addresses
Primary practice location
54 E Ramsdell St
New Haven, CT 06515-1140
Mailing address
60 Lake Rd
North Branford, CT 06471-1252
Phone (203) 843-1915
Other practice location 1
60 Lake Rd
North Branford, CT 06471-1252
Phone (203) 843-1915
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008039745 | Medicaid | CT | |
| 008023170 | Medicaid | CT | |
| 008024427 | Medicaid | CT | |
| 008042339 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1389 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1821696675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 LAKE RD",
"city": "NORTH BRANFORD",
"state": "CT",
"postal_code": "064711252",
"telephone_number": "203-843-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 E RAMSDELL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151140",
"telephone_number": "203-337-9943",
"fax_number": "203-337-4395"
}
],
"practiceLocations": [
{
"address_1": "60 Lake Rd",
"address_purpose": "LOCATION",
"city": "North Branford",
"state": "CT",
"postal_code": "064711252",
"country_code": "US",
"telephone_number": "203-843-1915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BUNNY",
"middle_name": "CATHERINA",
"name_prefix": "Mrs.",
"credential": "M.S.W., L.A.D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "1389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008039745",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008023170",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008024427",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008042339",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.