DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) – Clinical Psychologist, NPI 1922852219

DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) is a healthcare provider. based in Mt prospect, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 071011201 (IL). The NPI Number for DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) is 1922852219

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD)
NPI
1922852219
Phone
(847) 981-9200
Address
1660 FEEHANVILLE DR
Enumeration Date
15 April 2024
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479819200228
Graduation Year
2021 (5 years ago)
PAC ID
5193261592
Group Practice PAC ID
1052369865
Professional Enrollment ID
I20240722002737
Address ID
IL600566036MT1660XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD)

  • 1660 FEEHANVILLE DR

    MT PROSPECT, IL 600566019

    Phone: (847) 981-9200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240722002737IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60056)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052369865View full group profile
NameSpecialtyState
-IL
-IL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical PsychologistIL

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Frequently asked questions

Does DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) have a public NPI I can cite?
Public records show DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) under NPI 1922852219.
Should I treat DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) as an active provider?
Patients and plans typically see DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) as active in the national extract.
What does the directory say DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) does?
Insurance directories may phrase it differently, but here DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD)?
DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD) is associated with Mt Prospect, Illinois in the same public data insurers reference.
Can I export DR. MARLENE GRACE RIVERA RODRIGUEZ (PSYD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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