Kristin Louise Rogentine-Lee, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2574 Issued in NC

Practice address

3719 Latrobe Dr
Suite 830
Charlotte, NC 28211-4861

Phone

(704) 654-7088

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1043406333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR",
            "address_2": "SUITE 830",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114861",
            "telephone_number": "704-654-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR",
            "address_2": "SUITE 830",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114861",
            "telephone_number": "704-654-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGENTINE-LEE",
        "first_name": "KRISTIN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000838",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Eric Roemer, M.D.
• Diana Tong Roetting, PA-C
• Madison Rogan, OTR/L
• Skylar Madie Rogan, OTR/L
• Sandra Lynn Rogelberg
• Roger G. Tans, D.D.S., P.a.
• Brittany Forren Rogers, NP
• Chadwick Gordon Rogers, PA-C
• Christopher Rogers
• Colin Frederick Rogers, LCSW

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.