Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ivan Gabriel Rodriguez, PSYD

Individual provider Clinical Psychologist · NPI 1396203956

Dr. Ivan Gabriel Rodriguez, PSYD is a Clinical Psychologist in Tampa, Florida. Qualified in 2015, 11 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

14499 N Dale Mabry Hwy Ste 130-S
Tampa, FL 33618-2078
Phone: (813) 530-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3515 E Fletcher Ave, Tampa, FL 33613-4706 — (813) 821-8038

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY11209 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY11209 (FL)

Record details

NPI number1396203956
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 3, 2019
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients51
Services billed 489 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at University of Texas Southwestern Medical Center at Dallas

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3149 clinicians in the practice; 12 are shown here.

Other providers in Tampa