Active NPI
Errol O Rodriguez, PH.D.
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1841379880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017378
- Practice address
- 1400 Pelham Pkwy S
Nurse'S Residence Building 4 4N25
Bronx, NY 10461-1138 - Phone
- (718) 918-7798
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- 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 | 017378 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Nurse'S Residence Building 4 4N25
Bronx, NY 10461-1138
Mailing address
23 Old Mamaroneck Rd
3L
White Plains, NY 10605-2061
Phone (917) 626-0216
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017378 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1841379880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 OLD MAMARONECK RD",
"address_2": "3L",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052061",
"telephone_number": "917-626-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "NURSE'S RESIDENCE BUILDING 4 4N25",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ERROL",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.