Active NPI
Cliff Rodman, PH.D.
- Clinical Psychologist
- Smyrna, DE
National Provider Identifier
1972799203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- B1-0000572
- Practice address
- 26 E Glenwood Ave
Smyrna, DE 19977-1002 - Phone
- (302) 650-7609
- NPI assigned
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | B1-0000572 | DE | |
| Clinical Psychologist | 103TC0700X | B1-0000572 | DE | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | B1-0000572 | DE |
Addresses
Primary practice location
26 E Glenwood Ave
Smyrna, DE 19977-1002
Mailing address
1729 Marcy Drive
Smyrna, DE 19977
Phone (302) 650-7609
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 |
|---|---|---|---|
| B1-0000572 | DE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1972799203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 MARCY DRIVE",
"city": "SMYRNA",
"state": "DE",
"postal_code": "19977",
"telephone_number": "302-650-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 E GLENWOOD AVE",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771002",
"telephone_number": "302-650-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMAN",
"first_name": "CLIFF",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "DE",
"license": "B1-0000572",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0000572",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "DE",
"license": "B1-0000572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.