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Juan E Rodriguez, Psy.D.

Psychologist in Brooklyn, NY. Individual provider (NPI-1).

NPI number1144536244
StatusActive
Last updated in NPPESAug 13, 2021

Details

NPI
1144536244
Entity type
Individual (NPI-1)
Name
Mr. Juan E Rodriguez
Credential
Psy.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 26, 2010
Certification date
Aug 13, 2021
Last updated
Aug 13, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist018745NYYes

Practice location

514 49th St
Brooklyn, NY 11220-2010

Phone 718-437-5204 · Fax 718-437-5239

Mailing address

514 49th St
Brooklyn, NY 11220-2010

Phone 718-437-5204 · Fax 718-437-5239

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist providers in Brooklyn, NY

All 471 Psychologist providers in Brooklyn · All 80,721 providers in Brooklyn

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