MRS. MAGDA ELLEN RODRIGUEZ GONZALEZ PSY.D.
NPI 1194140657
Psychologist - Clinical in Odenton, MD

Q: What is Magda Rodriguez Gonzalez's NPI number?

The NPI number for Magda Rodriguez Gonzalez is 1194140657. It was assigned to this individual provider in the NPPES registry on February 20, 2014. The provider is also known as Mrs. Magda Ellen Gonzalez Nieves Ma.

Q: What is Magda Rodriguez Gonzalez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Magda Rodriguez Gonzalez enrolled in Medicare?

No. Magda Rodriguez Gonzalez has opted out of Medicare through March 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 20, 2014Opted out of Medicare · through Mar 16, 2027

13 ANNAPOLIS ROAD, SUITE 207, ODENTON, MD 21113(410) 216-4992 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Magda Ellen Rodriguez Gonzalez Psy.d. NPPES

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

MRS. MAGDA ELLEN RODRIGUEZ GONZALEZ PSY.D. (NPI 1194140657) is an individual clinical provider in Odenton, Maryland, licensed in Maryland (05341) and active in the NPI registry since February 2014. She has opted out of Medicare through March 16, 2027.

NPPES Registry Identity

NPI1194140657

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. MAGDA ELLEN RODRIGUEZ GONZALEZCredential: PSY.D.

Location Address13 ANNAPOLIS ROAD, SUITE 207Odenton, MD 21113-1216

Mailing Address1602 Wild Mustard DriveOdenton, MD 21113-6041 · (301) 593-4040 · Fax (301) 593-9148

Phone(410) 216-4992

Sole ProprietorNo

Enumeration DateFebruary 20, 2014

Last NPPES UpdateJune 2, 2021

NPPES CertifiedMay 17, 2021

✔ NPI 1194140657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MD · 05341

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

13 ANNAPOLIS ROAD, Odenton, MD 21113

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Other Names 1

Former Name (1)Mrs. Magda Ellen Gonzalez Nieves Ma

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Magda Ellen Rodriguez Gonzalez Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2015 through March 16, 2027.

Opt-Out Effective DateMarch 16, 2015

Opt-Out In Effect ThroughMarch 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Magda Rodriguez Gonzalez's NPI number?

The NPI number for Magda Rodriguez Gonzalez is 1194140657. It was assigned to this individual provider in the NPPES registry on February 20, 2014. The provider is also known as Mrs. Magda Ellen Gonzalez Nieves Ma.

Where is Magda Rodriguez Gonzalez located?

Magda Rodriguez Gonzalez practices at 13 Annapolis Road Suite 207, Odenton, MD 21113. The listed phone number is (410) 216-4992.

What is Magda Rodriguez Gonzalez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Magda Rodriguez Gonzalez enrolled in Medicare?

No. Magda Rodriguez Gonzalez has opted out of Medicare through March 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Magda Rodriguez Gonzalez was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.