EDDIE RODRIGUEZ (NPI# 1376976308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376976308 |
| Entity Type | Individual |
| Full Name | EDDIE RODRIGUEZ |
| Practice Address |
4450 W Eau Gallie Blvd 200 Melbourne FL 32934-7213 |
| Mailing Address |
400 E Sheridan Rd Melbourne FL 32901-3122 |
| Practice Telephone | 3217262860 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH3817 | Behavioral Health & Social Service Providers | |
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1740629922 | Eddie Gabriel Rodriguez | Emergency Medicine | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2013-06-20 |
| Street Address |
4450 W EAU GALLIE BLVD 200 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987223 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 4450 W Eau Gallie Blvd, Suite 137, Melbourne, FL 32934-7213 | 2006-01-20 |
| 1154950491 | Adrianna Williams | Occupational Therapist | 4450 W Eau Gallie Blvd, Melbourne, FL 32934-7213 | 2020-04-08 |
| 1922585975 | Carlos E Orive | Nurse Practitioner | 4450 W Eau Gallie Blvd, Melbourne, FL 32934-7213 | 2018-07-23 |
| 1174009294 | Arianna Harvey | Speech-Language Pathologist | 4450 W Eau Gallie Blvd, Melbourne, FL 32934-7213 | 2018-07-11 |
| 1831640101 | Chloe West | Counselor | 4450 W Eau Gallie Blvd, Melbourne, FL 32934-7213 | 2016-10-20 |
| 1447709506 | Timothy Mccall Jr. | Case Manager/Care Coordinator | 4450 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32934-7213 | 2016-09-29 |
| 1114470473 | Jennifer Kryszczynski | Physical Therapist | 4450 W Eau Gallie Blvd, Suite 180, Melbourne, FL 32934-7213 | 2016-08-03 |
| 1225499288 | Veronica Gooding | Case Manager/Care Coordinator | 4450 W Eau Gallie Blvd, 200, Melbourne, FL 32934-7213 | 2016-03-17 |
| 1326408634 | Erika Orriss | Counselor | 4450 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32934-7213 | 2016-02-29 |
| 1467819276 | Amanda Denny | Case Manager/Care Coordinator | 4450 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32934-7213 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804177 | Jeanne Moren | Marriage & Family Therapist | 414 E Strawbridge Ave, Melbourne, FL 32901-4559 | 2018-09-14 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1972933083 | Sarah Tippit | Marriage & Family Therapist | 1071 Stratford Place, Melbourne, FL 32940 | 2013-11-26 |
| 1265797393 | Joy Elana Breiner | Marriage & Family Therapist | 330 N Babcock St Ste 102, Melbourne, FL 32935-7324 | 2012-07-04 |
| 1407071210 | Judith Carol Siegler | Marriage & Family Therapist | 728 E Lincoln Ave, Suite 4, Melbourne, FL 32901-4806 | 2007-04-16 |
| 1568508257 | Suna Anderson Clinchard | Marriage & Family Therapist | 2306 S Babcock St, Melbourne, FL 32901-5308 | 2007-01-29 |
| 1396752895 | Beverly C. Bennett | Marriage & Family Therapist | 2015 Grant Pl, Melbourne, FL 32901-5600 | 2006-08-01 |
| 1821621509 | Joanna Joy Knowles Carey | Marriage & Family Therapist | 1920 S Babcock St, Melbourne, FL 32901-4445 | 2020-02-20 |
| 1356695787 | Stephanie Ann Byrd | Marriage & Family Therapist | 2306 S Babcock St, Melbourne, FL 32901-5308 | 2012-11-07 |
| 1710138953 | Sally Jaffe | Marriage & Family Therapist | 400 E Sheridan Rd, Melbourne, FL 32901-3122 | 2008-10-07 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.