1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Psychologist
  6. NPI Profile

RODOLFO RODRIGUEZ PHD
NPI 1881871036
Psychologist - Clinical in Santa Rosa, CA

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment
1550 AIRPORT BLVD, STE 206, SANTA ROSA, CA 95403(707) 799-4274 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 18, 2018, Sep 19, 2018, May 3, 2018 (3 updates tracked since 2018).

About Rodolfo Rodriguez Phd NPPES

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

RODOLFO RODRIGUEZ PHD (NPI 1881871036) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY11538) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1881871036
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRODOLFO RODRIGUEZCredential: PHD
Location Address1550 AIRPORT BLVD, STE 206Santa Rosa, CA 95403-1095
Mailing Address227 Sunnyvale DrHealdsburg, CA 95448-3224 · (707) 799-4274
Phone(707) 799-4274
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 29, 2008
Last NPPES UpdateOctober 18, 20183 updates tracked since enumeration
✔ NPI 1881871036 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 CA · PSY11538
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.
1550 AIRPORT BLVD, Santa Rosa, CA 95403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Rodolfo 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 ID9638232499
PECOS Enrollment IDI20150129001653
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 95403 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
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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

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

CROSS CULTURAL COUNSELING & EVALUATIONS
Psychologist (Clinical)
1550 AIRPORT BLVD, SUITE 206
SANTA ROSA, CA 95403
Sonoma County (707) 546-5294

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 Rodolfo Rodriguez's NPI number?

The NPI number for Rodolfo Rodriguez is 1881871036. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Rodolfo Rodriguez located?

Rodolfo Rodriguez practices at 1550 Airport Blvd Ste 206, Santa Rosa, CA 95403. The listed phone number is (707) 799-4274.

What is Rodolfo Rodriguez's specialty?

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

Is Rodolfo Rodriguez enrolled in Medicare?

Yes. Rodolfo 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.

What insurance does Rodolfo Rodriguez accept?

Health plans from Providence Health Plan list Rodolfo 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 Rodolfo Rodriguez was last updated on October 18, 2018. 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.