DR. MARIO S. RODRIGUEZ PH.D.
NPI 1962421461
Psychologist - Clinical in Tampa, FL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
12169 WEST LINEBAUGH AVE, TAMPA, FL 33626(813) 386-6800 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mario S. Rodriguez Ph.d. NPPES

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

DR. MARIO S. RODRIGUEZ PH.D. (NPI 1962421461) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY6792) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1962421461
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARIO S. RODRIGUEZCredential: PH.D.
Location Address12169 WEST LINEBAUGH AVETampa, FL 33626
Mailing Address12167 W Linebaugh AveTampa, FL 33626-1732 · (813) 386-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 10, 2018
NPI 1962421461 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 FL · PY6792
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.
12169 WEST LINEBAUGH AVE, Tampa, FL 33626

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

Dr. Mario S. Rodriguez Ph.d. 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 ID1052304185
PECOS Enrollment IDI20040525001606
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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
321 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Mario Rodriguez's NPI number?

The NPI number for Mario Rodriguez is 1962421461. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mario Rodriguez located?

Mario Rodriguez practices at 12169 West Linebaugh Ave, Tampa, FL 33626. The listed phone number is (813) 386-6800.

What is Mario Rodriguez's specialty?

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

Is Mario Rodriguez enrolled in Medicare?

Yes. Mario 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.

When was this NPI record last updated?

The NPPES record for Mario Rodriguez was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.