Jill Rodriguez, is a
Psychologist - Clinical based in Holland, Michigan. Jill Rodriguez is licensed to practice in Michigan (license number 6301009748) and her current practice location is
347 Hoover Blvd, Suite A, Holland, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 392-7695.
NPI number for Jill Rodriguez is 1548355753 and her current mailing address is 217 Sunrise Dr, Holland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548355753.
Healthcare Provider's Profile
Full Name | Jill Rodriguez |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 347 Hoover Blvd, Holland, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548355753
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 11/11/2016
Medical Identifiers
Medical identifiers for Jill Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548355753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6401005181 (Michigan) | Secondary |
103TC0700X | Psychologist - Clinical | 6301009748 (Michigan) | Primary |
103TS0200X | Psychologist - School | (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jill Rodriguez, 217 Sunrise Dr, Holland, MI 49423 Ph: (616) 392-7695 | Jill Rodriguez, 347 Hoover Blvd, Suite A, Holland, MI 49423-5802 Ph: (616) 392-7695 |
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