KELLY RODRIGUEZ (NPI# 1972039196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972039196 |
| Entity Type | Individual |
| Full Name | KELLY RODRIGUEZ |
| Credential | PSY.D. |
| Practice Address |
1405 E Guadalupe Rd Tempe AZ 85283-3971 |
| Mailing Address |
1405 E. Guadalupe Rd. 2111 E. Baseline Rd. Ste. A-2 Tempe AZ 85283 |
| Practice Telephone | 4809213314 |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4889 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA BOARD OF PSYCHOLOGIST EXAMINERS | 4889 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806685 | Kelly D Rodriguez | Counselor | 4705 Careo Dr, Antelope, CA 95843-5182 | 2012-10-25 |
| 1659993178 | Kelly Rodriguez | Social Worker | 1000 10th Ave, New York, NY 10019-1147 | 2020-05-07 |
| 1689293425 | Kelly Hiliana Rodriguez | Pharmacist | 1107 E Army Post Rd, Des Moines, IA 50315-5942 | 2020-04-12 |
| 1235604877 | Kelly Rodriguez | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2018-10-10 |
| 1710380860 | Kelly Ann Rodriguez | Psychologist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-10-03 |
| 1902231533 | Kelly R Rodriguez | Marriage & Family Therapist | 1501 Hughes Way, Suite 150, Long Beach, CA 90810-1876 | 2013-09-13 |
| 1811250814 | Kelly Rodriguez | Counselor | 215 W Broadway St, Suite #1, Hobbs, NM 88240-6065 | 2012-06-25 |
| 1437435989 | Kelly C Rodriguez | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2011-10-28 |
| 1568455103 | Kelly M Rodriguez | Family Medicine | 20905 Professional Plz, Ste 330, Ashburn, VA 20147-7783 | 2005-08-30 |
| Street Address |
1405 E GUADALUPE RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619322864 | Buwalda Psychological Services | Community/Behavioral Health | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2016-04-25 |
| 1669029104 | Eric Suedmeyer | Psychologist | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2019-08-20 |
| 1558898775 | Elizabeth Capps-conkle | Psychologist | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2017-05-18 |
| 1588190375 | Cheryl Jones | Counselor | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2017-05-11 |
| 1548796105 | Kristina Huggins | Counselor | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275052326 | Nisha Todi | Psychologist | 1151 S Forest Ave Suite Number 334, Tempe, AZ 85287-0001 | 2017-09-10 |
| 1669912960 | Maureen Keaveny | Psychologist | 9855 S Priest Dr Ste 102, Tempe, AZ 85284-3605 | 2017-03-06 |
| 1184085813 | Stacey Smith | Psychologist | 2211 S Mill Ave, Tempe, AZ 85282-2115 | 2016-03-08 |
| 1164701751 | Daniel R Gross | Psychologist | 1155 W Grove Pkwy, Apt. 329, Tempe, AZ 85283-4409 | 2011-08-12 |
| 1962689828 | Brigitte Diane Gourley | Psychologist | 2600 E Southern, Suite F1, Tempe, AZ 85282 | 2008-01-23 |
| 1699897140 | Tad Skinner | Psychologist | 1300 S Mill Ave, Tempe, AZ 85281-5650 | 2007-04-04 |
| 1144346727 | Dr.zelda Hittel, P.C. | Psychologist | 1050 E. Southern, Suite A-1, Tempe, AZ 85282-5403 | 2007-03-22 |
| 1558406629 | Dennis J Burns | Psychologist | 371 W Lodge Dr, Tempe, AZ 85283-3532 | 2007-02-20 |
| 1013059344 | Linda Claire Caterino | Psychologist | 5420 S Lakeshore Dr 102, Tempe, AZ 85283-2172 | 2007-02-13 |
| 1073665139 | David Roger Young | Psychologist | 4801 S Lakeshore Dr, Suite 206, Tempe, AZ 85282-7155 | 2007-01-17 |
| Find all providers in TEMPE | ||||
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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.