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

Carlos Alberto Rodriguez, PHD

Individual provider Psychologist · NPI 1255711347

Carlos Alberto Rodriguez, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 267-7401
Fax: (616) 267-7594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 — (616) 267-7104

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6301017168 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301017168 (MI)

Record details

NPI number1255711347
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 3, 2015
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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 Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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