DR. JORGE RODRIGUEZ (NPI# 1992875322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992875322 |
| Entity Type | Individual |
| Full Name | DR. JORGE RODRIGUEZ |
| Credential | PH.D. |
| Practice Address |
12359 Sunrise Valley Dr Suite #220 Reston VA 20191-3462 |
| Practice Telephone | 7034769500 |
| Mailing Telephone | 7034769500 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AMERIGROUP | 283186 | 01 |
| VA | ANTHEM | 334206 | 01 |
| DC | CF BCBS DC | 46810001 | 01 |
| VA | UHC UBH | 1230161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295695 | Jorge Joel Rodriguez | Specialist/Technologist | 134 E North St, 2nd Apt, Bethlehem, PA 18018-4021 | 2017-03-07 |
| 1356884555 | Jorge M Rodriguez | Dental Hygienist | Bldg 38801 Suite B&c, Usa Dental Health Activity, Ft Gordon, GA 30905-5660 | 2016-11-21 |
| 1205231024 | Jorge Rodriguez | Massage Therapist | 855 N Park Rd, Apt C-303, Wyomissing, PA 19610-1308 | 2014-10-23 |
| 1861762056 | Jorge Rodriguez | Massage Therapist | 1737 Sw 7th St Apt 9, Miami, FL 33135-3546 | 2012-01-05 |
| 1023239001 | Jorge Alejandro Rodriguez | Internal Medicine | 7 Calle Pacheco S, Yauco, PR 00698-3507 | 2007-05-01 |
| 1477688638 | Jorge Serrano Rodriguez | General Practice | 251 Brisas Del Caribe, Ponce, PR 00728-5312 | 2007-02-21 |
| 1326192915 | Jorge L Rodriguez | Dentist | 10 Calle Dr Pasarell, Yauco, PR 00698-3657 | 2007-01-22 |
| 1659423812 | Jorge Rodriguez | Internal Medicine | 115 Calle Emilio Gonzalez, Isabela, PR 00662-2656 | 2007-01-17 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1023052644 | Jorge Rodriguez | Internal Medicine | 8301 Nw 12 St, Doral, FL 33126-0000 | 2006-06-15 |
| Street Address |
12359 SUNRISE VALLEY DR SUITE #220 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619988078 | Carrie Sue Welch | Chiropractor | 12359 Sunrise Valley Dr, Suite #140, Reston, VA 20191-3462 | 2006-08-11 |
| 1912302555 | Nova Psychiatrist, LLC | Counselor | 12359 Sunrise Valley Dr, Suite 320, Reston, VA 20191-3462 | 2014-10-24 |
| 1952725103 | Woong Huh | Dentist | 12359 Sunrise Valley Dr, Ste 250, Reston, VA 20191-3462 | 2014-02-08 |
| 1346573318 | Catharine Niblack Raby | Chiropractor | 12359 Sunrise Valley Dr, Suite 140, Reston, VA 20191-3462 | 2009-09-09 |
| 1952553935 | Wendy Nichole Cohen | Physician Assistant | 12359 Sunrise Valley Dr, Suite 320, Reston, VA 20191-3462 | 2008-10-21 |
| 1306018650 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 12359 Sunrise Valley Dr, Suite 160, Reston, VA 20191-3462 | 2008-03-27 |
| 1851519300 | Olympic Anesthesia PC | Anesthesiology | 12359 Sunrise Valley Dr, Suite 330, Reston, VA 20191-3462 | 2007-04-22 |
| 1568505402 | Jennifer L. Marshall, Ph.d., P.l.l.c. | Psychologist | 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191-3462 | 2007-02-14 |
| 1356409478 | Carrie S. Welch, D. C., Pllc | Chiropractor | 12359 Sunrise Valley Dr, Suite 140, Reston, VA 20191-3462 | 2006-12-04 |
| 1023198975 | Mary Bolton-owens | Counselor | 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191-3462 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361857 | William Ling | Clinical Neuropsychologist | 1900 Campus Commons Drive, Ste 100, Reston, VA 20191 | 2005-07-28 |
| 1225255102 | Ida Sue Baron | Clinical Neuropsychologist | 1830 Town Center Dr, Reston, VA 20190-3292 | 2007-04-20 |
| 1497972376 | Ida Sue Baron, Ph.d., P.C. | Clinical Neuropsychologist | 1830 Town Center Dr, Reston, VA 20190-3292 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1831710755 | Reston Precision Neuropsychology LLC | Clinical Neuropsychologist | 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2020-05-01 |
| 1841848504 | Dr Vivian Begali Lcp Facpn Abn Abpp LLC | Clinical Neuropsychologist | 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 | 2019-08-27 |
| 1528527140 | Natalia Lugina Mauranne | Clinical Neuropsychologist | 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2019-03-13 |
| 1518434604 | Jessica Isabel Alva | Clinical Neuropsychologist | 12735 Inverness Way, Woodbridge, VA 22192-5038 | 2018-10-27 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1851801708 | William David Crews Jr. | Clinical Neuropsychologist | 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 | 2017-10-05 |
| 1306360425 | Nacmed | Clinical Neuropsychologist | 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2017-07-31 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
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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.