Carlos Alberto Rodriguez, PHD
NPI 1255711347ActiveIndividual· Clinical Neuropsychologist· Grand Rapids, MI
Clinical Neuropsychologist (PHD) with Spectrum Health Primary Care Partners, practicing in Grand Rapids, Michigan. Medicare paid $16,051 for services to 72 patients in 2024. Lists Spectrum Health as a hospital affiliation.
Overview
| NPI | 1255711347 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 3, 2015 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 6301017168 | MI |
| Psychologist | 103T00000X | 6301017168 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 321 across 8 procedure codes |
| Paid by Medicare | $16,051 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Spectrum Health Primary Care PartnersGrand Rapids, MI · 2,294 clinicians
Hospital affiliation
- Spectrum HealthGrand Rapids, MI
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