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DR. IVAN GABRIEL RODRIGUEZ PSYD
NPI 1396203956
Clinical Neuropsychologist in Dallas, TX

Active since March 03, 2019PECOS EnrolledAccepts Medicare Assignment
1440 EMPIRE CENTRAL DR, DALLAS, TX 75247(214) 648-4646 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Dec 13, 2022, Aug 24, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Ivan Gabriel Rodriguez Psyd NPPES

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

DR. IVAN GABRIEL RODRIGUEZ PSYD (NPI 1396203956) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Florida (PY11209) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396203956
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. IVAN GABRIEL RODRIGUEZCredential: PSYD
Location Address1440 EMPIRE CENTRAL DRDallas, TX 75247-4091
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201
Phone(214) 648-4646
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 3, 2019
Last NPPES UpdateAugust 20, 20265 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1396203956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY11209
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 41032 (TX)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY11209 (FL)
1440 EMPIRE CENTRAL DR, Dallas, TX 75247
Open in Google Maps ↗

Secondary Practice Location 1

Location 13515 E Fletcher AveTampa, FL 33613-4706 · Phone (813) 821-8038

Other Identifiers 1

OtherA3858FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan Gabriel Rodriguez Psyd 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 ID1153728266
PECOS Enrollment IDI20260603004803
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ivan Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
1.4 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
Personal Recovery Network LLC
734 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Florida enrollment
  • 408 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
243 services45 patients
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.
102 services41 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.
47 services45 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.
43 services41 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.
41 services41 patients

Other Providers at the Same Location NPPES 5

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

KALTRA DHIMA PHD
Clinical Neuropsychologist
1440 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 648-4646
DR. DAVID DENNEY PH.D.
Clinical Neuropsychologist
1440 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 648-4646
WILLIAM GOETTE
Clinical Neuropsychologist
1440 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 648-4646
DR. LAUREN ASHLEE FRICK PSYD
Clinical Neuropsychologist
1440 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 648-4646
DEBORAH M. GONZALEZ BA
Clinical Neuropsychologist
1440 EMPIRE CENTRAL DR
DALLAS, TX 75247
Dallas County (214) 648-4646

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 Ivan Rodriguez's NPI number?

The NPI number for Ivan Rodriguez is 1396203956. It was assigned to this individual provider in the NPPES registry on March 3, 2019.

Where is Ivan Rodriguez located?

Ivan Rodriguez practices at 1440 Empire Central Dr, Dallas, TX 75247. The listed phone number is (214) 648-4646.

What is Ivan Rodriguez's specialty?

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

Is Ivan Rodriguez enrolled in Medicare?

Yes. Ivan Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ivan Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Rodriguez reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Personal Recovery Network LLC (Stockbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivan Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Ivan 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 Ivan Rodriguez was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.