Individual provider · Type 1 NPI

Michael Indenbaum Rodriguez, PSYD

Clinical Psychologist · New York, NY

NPI number 1871114710 Active

Practice location

167 Madison Ave Suite 205 1004
New York, NY 10016

Mailing address

167 Madison Ave Rm 205 #1004
New York, NY 10016-5403

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist 103TA0400X024679 (NY)
Cognitive & Behavioral Psychologist 103TB0200X024679 (NY)
Group Psychotherapy Psychologist 103TP2701X024679 (NY)
Clinical Psychologist Primary 103TC0700X024679 (NY)

Clinical Psychologist: 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 discip…

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About NPI 1871114710

Michael Indenbaum Rodriguez, PSYD's National Provider Identifier is 1871114710, issued on May 1, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Jun 21, 2023.