Jorge Rodriguez, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

12359 Sunrise Valley Dr
Suite #220
Reston, VA 20191-3462

Phone

(703) 476-9500

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Jennifer L. Marshall, PH.D., P.L.L.C.

  • Clinical Psychologist
  • Reston, VA
  • NPI 1568505402
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1992875322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR",
            "address_2": "SUITE #220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913462",
            "telephone_number": "703-476-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR",
            "address_2": "SUITE #220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913462",
            "telephone_number": "703-476-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CF BCBS DC",
            "identifier": "46810001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "283186",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC UBH",
            "identifier": "1230161",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "334206",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Robinson II
• Ryan Mark Robinson, AG-ACNP
• Maria Luisa Robison, LPN
• Paris Monet Rodgers, PA-C
• Rodolfo H Gonzalez MD. PC
• Tiffany Rodriguez
• Stacy Ann Rogers, DPT
• Amin Rokni
• Tomoko Taguchi Rose, MA
• Tammy Z Rosenthal, MD

• Clinical Neuropsychologist in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.