IVETTE RODRIGUEZ
NPI 1083404669
Psychologist in San Antonio, TX

Active since May 08, 2025PECOS Enrolled
1102 WYOMING ST, SAN ANTONIO, TX 78203(210) 995-0234 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivette Rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVETTE RODRIGUEZ (NPI 1083404669) is an individual psychologist in San Antonio, Texas, licensed in Texas (39337) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083404669
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameIVETTE RODRIGUEZ
Location Address1102 WYOMING STSan Antonio, TX 78203-1320
Mailing Address1102 Wyoming StSan Antonio, TX 78203-1320 · (210) 995-0234
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
NPI 1083404669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 39337
Definition

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.

1102 WYOMING ST, San Antonio, TX 78203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ivette Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284149949
PECOS Enrollment IDI20250714000437
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivette Rodriguez's NPI number?

The NPI number for Ivette Rodriguez is 1083404669. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Ivette Rodriguez located?

Ivette Rodriguez practices at 1102 Wyoming St, San Antonio, TX 78203. The listed phone number is (210) 995-0234.

What is Ivette Rodriguez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ivette Rodriguez enrolled in Medicare?

Yes. Ivette Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Ivette Rodriguez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Ivette Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivette Rodriguez was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.