Organization Active NPI

Ann Rodriguez NP Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishkill, NY
National Provider Identifier
1962891515
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400552-1 Issued in NY
Legal business name
ANN RODRIGUEZ NP PSYCHIATRY PC
Practice address
1076 Main St
Suite 202
Fishkill, NY 12524-3606
Phone
(914) 450-6021
Fax
(845) 728-0667
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Ann C Rodriguez, NPNPI 1972737021
Title
Tin Owner
Phone
(914) 450-6021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F400552-1 NY Primary

Addresses

Primary practice location

1076 Main St
Suite 202
Fishkill, NY 12524-3606

Mailing address

32 Brook Farm Rd
Bedford, NY 10506-1310
Phone (914) 450-6021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150421001643 NY Part B Supplier - Clinic/Group Practice 8325366461 Receives reassigned benefits from 1 practitioner
Practice locations: Fishkill, NY

National Provider Directory

National Provider Directory

Locations

1076 Main St
Ste 202
Fishkill, NY 12524
Phone (914) 450-6021

1076 Main St
Ste 204
Fishkill, NY 12524
Phone (845) 838-7853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1962891515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BROOK FARM RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061310",
            "telephone_number": "914-450-6021",
            "fax_number": "845-728-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 MAIN ST",
            "address_2": "SUITE 202",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243606",
            "telephone_number": "914-450-6021",
            "fax_number": "845-728-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN RODRIGUEZ NP PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TIN OWNER",
        "authorized_official_telephone_number": "914-450-6021",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400552-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.