Provider Demographics
NPI:1720960073
Name:MUNOZ, RODRIGO SEBASTIAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:RODRIGO
Middle Name:SEBASTIAN
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 HOMESTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-5409
Mailing Address - Country:US
Mailing Address - Phone:786-728-6009
Mailing Address - Fax:
Practice Address - Street 1:3 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3197
Practice Address - Country:US
Practice Address - Phone:914-361-7238
Practice Address - Fax:914-668-0164
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27412103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical