SARA E GONZALEZ RODRIGUEZ PHD
NPI 1508310921
Psychologist in Saint Paul, MN

Active since August 15, 2016PECOS Enrolled
345 SMITH AVE N, SAINT PAUL, MN 55102(651) 220-6720 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2019, Aug 15, 2016 (2 updates tracked since 2016).

About Sara E Gonzalez Rodriguez Phd NPPES

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

SARA E GONZALEZ RODRIGUEZ PHD (NPI 1508310921) is an individual psychologist in Saint Paul, Minnesota and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1508310921
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSARA E GONZALEZ RODRIGUEZCredential: PHD
Location Address345 SMITH AVE NSaint Paul, MN 55102
Mailing Address345 Smith Ave NSaint Paul, MN 55102-2346
Sole ProprietorNo
Enumeration DateAugust 15, 2016
Last NPPES UpdateJuly 23, 20192 updates tracked since enumeration
✔ NPI 1508310921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
345 SMITH AVE N, Saint Paul, MN 55102

Secondary Practice Location 1

Location 12444 O StLincoln, NE 68510-1125 · Phone (402) 475-7666 · Fax (402) 476-9623

Other Identifiers 1

Medicaid470398819NE

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara E Gonzalez 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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Gonzalez Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group

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

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.

Pharmacist
345 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner (Primary Care)
345 SMITH AVE N
SAINT PAUL, MN 55102
Genetic Counselor, MS
345 SMITH AVE N, MAILSTOP 61-245
SAINT PAUL, MN 55102
Social Worker (Clinical)
345 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner
345 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
345 SMITH AVE N
SAINT PAUL, MN 55102
Pediatrics (Pediatric Emergency Medicine)
345 SMITH AVE N
SAINT PAUL, MN 55102
Physician Assistant
345 SMITH AVE N
SAINT PAUL, MN 55102

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 Sara Gonzalez Rodriguez's NPI number?

The NPI number for Sara Gonzalez Rodriguez is 1508310921. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Sara Gonzalez Rodriguez located?

Sara Gonzalez Rodriguez practices at 345 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 220-6720.

What is Sara Gonzalez Rodriguez's specialty?

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

Is Sara Gonzalez Rodriguez enrolled in Medicare?

Yes. Sara Gonzalez Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Gonzalez Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Gonzalez Rodriguez reassigns Medicare benefits to Childrens Health Care (St Paul, MN). The 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 Sara Gonzalez Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Gonzalez Rodriguez accept?

Health plans from HealthPartners list Sara Gonzalez 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 Sara Gonzalez Rodriguez was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.