Mario S. Rodriguez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6792 Issued in FL

Practice address

12169 West Linebaugh Ave
Tampa, FL 33626

Phone

(813) 386-6800

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Friedman and Rodriguez Psychology Associates PAGroup PAC ID 8426143918, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Friedman & Rodriguez Psychology Associates PA

  • Health Service Psychologist
  • Tampa, FL
  • NPI 1851502603
  Medicare reassignment Care Compare group NPD
• Emergent Care Psychologists PA

  • Clinical Psychologist
  • Pinellas Park, FL
  • NPI 1770649238
  NPD (past)
• GPS II

  • Health Service Psychologist
  • Longboat Key, FL
  • NPI 1861740888
  NPD (past)
• John P McDonough III

  dba Geriatric Psychological Specialists

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1962421461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12167 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261732",
            "telephone_number": "813-386-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12169 WEST LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "813-386-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIO",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie R Rodriguez
• Madison Alexis Rodriguez, APRN
• Magaly Adelaida Rodriguez, M.D.
• Maria Rodriguez
• Maria Victoria Rodriguez
• Maya Lee Rodriguez, DO
• Maya Sophia Rodriguez
• Melissa Margarita Rodriguez, PA
• Melody Rodriguez
• Michelle Ashley Rodriguez

• Clinical Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.