Von Marie Rodriguez-Guzman, PH.D.
NPI 1831505163ActiveIndividual· Psychologist, Clinical· East Providence, RI
Psychologist, Clinical (PH.D.) in East Providence, Rhode Island, trained at Ponce School of Medicine (class of 2014). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1831505163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 8, 2014 |
| Last updated in NPPES | Sep 28, 2022 |
| Certified by provider | Sep 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS01658 | RI |
| Psychologist, Clinical | 103TC0700X | 022199 | NY |
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 (RI) |
|---|
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
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All 40 clinical psychologists in East Providence · All clinical psychologists in Rhode Island