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ANDREW J RODRIGUEZ PHD
NPI 1245885169
Psychologist - Clinical in Portland, OR

Active since August 07, 2019PECOS Enrolled
9135 SW BARNES RD STE 561, PORTLAND, OR 97225(503) 216-2339 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2020, Aug 4, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2019).

About Andrew J Rodriguez Phd NPPES

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

ANDREW J RODRIGUEZ PHD (NPI 1245885169) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3479) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245885169
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameANDREW J RODRIGUEZCredential: PHD
Location Address9135 SW BARNES RD STE 561Portland, OR 97225-6643
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-2339
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateApril 25, 20234 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1245885169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 3479
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.
Also ListedCounselorTaxonomy 101Y00000X · License LH60955164 (WA)
Also ListedPsychologistTaxonomy 103T00000X · License PY61013442 (WA)
9135 SW BARNES RD STE 561, Portland, OR 97225
Open in Google Maps ↗

Other Identifiers 1

Medicaid2138642WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIDO TRAN MAAS OT
Occupational Therapist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
ALLISON M. CONNOLLY AUD
Audiologist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
MARITZA ZALDIVAR-LIMA AU.D
Audiologist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
DIANA DEAIBES EDDY CCC-SLP
Speech-Language Pathologist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
ROCIO CABRERA SLP
Speech-Language Pathologist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
MRS. TARA DARICE CENOVA M.S., CCC-SLP
Speech-Language Pathologist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
HANNAH C FILICKY OT
Occupational Therapist
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339
ELIZABETH R BRUTON PNP
Nurse Practitioner (Pediatrics)
9135 SW BARNES RD STE 561
PORTLAND, OR 97225
Washington County (503) 216-2339

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 Andrew Rodriguez's NPI number?

The NPI number for Andrew Rodriguez is 1245885169. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Andrew Rodriguez located?

Andrew Rodriguez practices at 9135 SW Barnes Rd Ste 561, Portland, OR 97225. The listed phone number is (503) 216-2339.

What is Andrew Rodriguez's specialty?

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

Is Andrew Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Rodriguez was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.