Marie Therese Rogers, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6312 Issued in FL

Practice address

3650 N Federal Hwy Ste 215
Lighthouse Point, FL 33064-6649

Phone

(954) 782-6461

Fax

(954) 782-8389

NPI assigned

May 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jill a. Selbach, PH.D., P.a.

  • Psychologist
  • Lighthouse Point, FL
  • NPI 1598033573
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053521955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N FEDERAL HWY STE 215",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646649",
            "telephone_number": "954-782-6461",
            "fax_number": "954-782-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N FEDERAL HWY STE 215",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646649",
            "telephone_number": "954-782-6461",
            "fax_number": "954-782-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARIE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Psychiatric Care, LLC
• Robert Lopez Extender Plus, LLC
• Robert Lopez Extender Plus, LLC
• Paul A. Rodriguez, DO
• Roger B Blinder DC Inc
• Jenna Romanelli
• Julia Rosin, M.S.
• Terry Alicia Rutz, AU.D.
• Mark Sacino
• Sassifeet LLC

• Clinical Psychologist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.