MICHAEL INDENBAUM RODRIGUEZ (NPI# 1871114710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871114710 |
| Entity Type | Individual |
| Full Name | MICHAEL INDENBAUM RODRIGUEZ |
| Practice Address |
347 Grand St Brooklyn NY 11211-4495 |
| Mailing Address |
4331 45th St Apt 3h Sunnyside NY 11104-2347 |
| Practice Telephone | 9292961624 |
| Mailing Telephone | 2679724317 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
105145-01 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
105145-01 | NY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
105145-01 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538694716 | Michael Rodriguez | Student in an Organized Health Care Education/Training Program | 1836 South Avenue, La Crosse, WI 54601 | 2017-04-26 |
| 1013466366 | Michael Jordy Rodriguez | Social Worker | 4828 196th Pl, Fresh Meadows, NY 11365 | 2016-09-28 |
| 1528356284 | Michael Rodriguez | Otolaryngology | 20325 N 51st Ave Ste 154, Glendale, AZ 85308-4622 | 2011-07-15 |
| 1639463045 | Michael Edward Rodriguez | Dentist | 1127 Del Prado Blvd S, Suite D,e, Cape Coral, FL 33990-3692 | 2011-06-02 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| 1427298850 | Michael Torres Rodriguez I | Counselor | 25863 Jayne Avenue, Coalinga, CA 93210 | 2009-02-25 |
| 1184881559 | Michael Rodriguez | Psychologist | 2021 Sperry Ave Ste 20, Ventura, CA 93003-7446 | 2008-05-21 |
| 1821194218 | Michael Anthony Rodriguez | Chiropractor | 5083 Arlington Avenue, Riverside, CA 92504-3356 | 2006-09-15 |
| 1912984642 | Michael Charles Rodriguez | Dentist | 128 Mentor Ave, Painesville, OH 44077-3232 | 2005-12-23 |
| 1548252075 | Michael J Rodriguez | Chiropractor | 545 W Granada Blvd, Ormond Beach, FL 32174-5103 | 2005-08-19 |
| Street Address |
347 GRAND ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174899231 | Naema Qureshi | Psychiatry & Neurology | 347 Grand St, Brooklyn, NY 11211-4495 | 2012-03-22 |
| 1346848280 | Andie Markowitz | Social Worker | 347 Grand St, Brooklyn, NY 11211-4495 | 2020-10-13 |
| 1265049738 | Sarah Lynn Meyeroff | Social Worker | 347 Grand St, Brooklyn, NY 11211-4495 | 2020-09-28 |
| 1992322960 | William Nana Osei | Psychologist | 347 Grand St, Brooklyn, NY 11211-4495 | 2020-06-25 |
| 1841829975 | Jacob Lichtman | Counselor | 347 Grand St, Brooklyn, NY 11211-4495 | 2020-04-01 |
| 1417599242 | Bari Schilowitz | Psychiatry & Neurology | 347 Grand St, Brooklyn, NY 11211-4495 | 2019-10-14 |
| 1043851397 | Michelle Bernabe | Registered Nurse | 347 Grand St, Brooklyn, NY 11211-4495 | 2019-10-07 |
| 1801445242 | Julia Noelle Koerwer | Social Worker | 347 Grand St, Brooklyn, NY 11211-4495 | 2019-09-09 |
| 1407418247 | Danny Ruiz | Counselor | 347 Grand St, Brooklyn, NY 11211-4495 | 2019-07-02 |
| 1497226013 | Lauren Moy | Psychologist | 347 Grand St, Brooklyn, NY 11211-4495 | 2018-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| 1497361349 | Ira Schwartz | Psychologist | 2350 Ocean Avenue, Apt. Phh, Brooklyn, NY 11229-3030 | 2020-09-16 |
| 1548873516 | James Delrey Grimaldi | Psychologist | 81 77th St, Brooklyn, NY 11209-2920 | 2020-08-28 |
| 1205445855 | Virtue Sankoh | Psychologist | 8 Vanderbilt Ave Apt 12a, Brooklyn, NY 11205-1226 | 2020-07-29 |
| 1053957662 | Rebecca Brodoff | Psychologist | 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702 | 2019-11-19 |
| 1225671985 | Kenji Takeda | Psychologist | 68 35th St Unit 4, Brooklyn, NY 11232-2211 | 2019-10-24 |
| 1497397608 | Heidi Cox | Psychologist | 540 President St Fl 3, Brooklyn, NY 11215-1493 | 2019-10-09 |
| 1801352281 | Philip Jay Bender | Psychologist | 50 Ocean Pkwy Apt 6k, Brooklyn, NY 11218-1539 | 2019-02-11 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
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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.