INGRID VANESSA RODRIGUEZ (NPI# 1255668505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255668505 |
| Entity Type | Individual |
| Full Name | INGRID VANESSA RODRIGUEZ |
| Practice Address |
400 Columbus Ave New Haven CT 06519-1233 |
| Practice Telephone | 2035033347 |
| Practice Fax Number | 2035033296 |
| Mailing Telephone | 2035033347 |
| Mailing Fax Number | 2035033296 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2011-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 003115 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235918 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699812792 | Ingrid G Rodriguez | Pharmacist | Munoz Rivera St, 33, Salinas, PR 00751 | 2007-01-30 |
| 1003083650 | Ingrid Rodriguez | Emergency Medicine | 5200 Harroun Rd, Emergency Department, Sylvania, OH 43560-2168 | 2008-05-13 |
| Street Address |
400 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209091 | Robin Goldberg | Dentist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2005-10-20 |
| 1871190579 | Ashley Salter | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-10-06 |
| 1679199095 | Kathleen Mary Mcmahon-brown | Nurse Practitioner | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-22 |
| 1003443219 | D'amira Kendrick | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-03-26 |
| 1821628108 | Jonathan Ruiz | Marriage & Family Therapist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-01-25 |
| 1205495785 | Julia Stark Oricchio | Nurse Practitioner | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2019-06-10 |
| 1174004758 | Taylor Catherine Rispoli | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2018-08-22 |
| 1548769235 | Carolina Bunta | Marriage & Family Therapist | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2018-02-07 |
| 1740728559 | Ervis Shehu | Pharmacist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2017-02-01 |
| 1265985725 | Grace Kindilien Moskowitz | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2016-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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| 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 |
|---|---|---|---|---|
| 1285267880 | Margaret Taylor Davis | Psychologist | 2 Church St S Ste 511, New Haven, CT 06519-1760 | 2020-02-21 |
| 1548829500 | Carla Marin | Psychologist | 47 Trumbull St Ste 204, New Haven, CT 06510-1004 | 2019-06-12 |
| 1699249987 | Marisela Lopez | Psychologist | 66 Trumbull St # 1ff, New Haven, CT 06510-1012 | 2019-01-19 |
| 1639683188 | Thomas G Adams Jr. | Psychologist | 34 Park St Ofc W309, New Haven, CT 06519-1109 | 2017-11-20 |
| 1205367489 | Sherry Mckee | Psychologist | 2 Church St S Ste 109, New Haven, CT 06519-1717 | 2017-03-21 |
| 1447670153 | Victoria Lynn Webb | Psychologist | 2 Hillhouse Ave, New Haven, CT 06511-6804 | 2014-04-21 |
| 1346590908 | Samuel Arthur Ball | Psychologist | 1 Long Wharf, The Apt Foundation, New Haven, CT 06511-5991 | 2012-09-11 |
| 1063710234 | Steven Michael Cohen | Psychologist | 245 Whalley Ave, New Haven, CT 06511-3254 | 2011-03-11 |
| 1215260575 | Christy L Olezeski | Psychologist | 1 Long Wharf Dr Fl 5, New Haven, CT 06511 | 2009-09-17 |
| 1295965010 | Kaity Jeanty | Psychologist | 446 Blake St Ste 200, New Haven, CT 06515-1286 | 2009-07-15 |
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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.