Healthcare Provider Details

I. General information

NPI: 1295648988
Provider Name (Legal Business Name): MARTA M. RODRIGUEZ, PSY.D. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 LOWER WESTFIELD RD STE 1
HOLYOKE MA
01040-2744
US

IV. Provider business mailing address

98 LOWER WESTFIELD RD STE 1 #2010
HOLYOKE MA
01040-2744
US

V. Phone/Fax

Practice location:
  • Phone: 413-272-5108
  • Fax:
Mailing address:
  • Phone: 413-272-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MARTA MARIA RODRIGUEZ
Title or Position: MANAGING MEMBER
Credential: PSY.D.
Phone: 413-627-1124