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Stella Dimaris Cruz Rodriguez, PSYD

NPI 1578162970ActiveIndividual· Psychologist· Smyrna, GA

Psychologist (PSYD) in Smyrna, Georgia, licensed in GA, with an NPI issued in October 2020. Enrolled in Medicare as practitioner - clinical psychologist.

Overview

NPI1578162970
StatusActive
Entity typeIndividual
CredentialPSYD
Sole proprietorYes
NPI issuedOct 19, 2020
Last updated in NPPESApr 21, 2026
Certified by providerApr 21, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPSY004432GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (GA)

Medicare sources and data years

Other Psychologist providers in Smyrna

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