CARLOS ALBERTO RODRIGUEZ PHD
NPI 1255711347
Clinical Neuropsychologist in Grand Rapids, MI

Q: What is Carlos Rodriguez's NPI number?

The NPI number for Carlos Rodriguez is 1255711347. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Q: What is Carlos Rodriguez's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Rodriguez was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7401(616) 267-7594 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Feb 22, 2021, Sep 18, 2017 (3 updates tracked since 2017).

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About Carlos Alberto Rodriguez Phd NPPES

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

CARLOS ALBERTO RODRIGUEZ PHD (NPI 1255711347) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301017168) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1255711347

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameCARLOS ALBERTO RODRIGUEZCredential: PHD

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790

Phone(616) 267-7401

Fax(616) 267-7594

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 3, 2015

Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1255711347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301017168

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 6301017168 (MI)

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 12750 E Beltline Ave NEGrand Rapids, MI 49525-8614 · Phone (616) 267-7104

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Alberto Rodriguez Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012280928

PECOS Enrollment IDI20170829000139

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

90 services64 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

69 services68 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

68 services67 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

37 services37 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

37 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

PHILLIP RICHTER PARAS M.D.

Pediatrics