Organization Active NPI

Jennifer L. Rockett, PH.D.

  • Clinical Psychologist
  • Bryan, TX
National Provider Identifier
1053665281
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36024 Issued in TX
Legal business name
JENNIFER L. ROCKETT, PH.D.
Practice address
2402 Broadmoor Dr
Building Dii Suite 111
Bryan, TX 77802-2847
Phone
(979) 450-5320
Fax
(979) 713-1245
NPI assigned
Nov 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. Jennifer Lynn Rockett, PH.D.
Title
Psychologist/Owner
Phone
(979) 450-5320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 36024 TX Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X 36024 TX

Addresses

Primary practice location

2402 Broadmoor Dr
Building Dii Suite 111
Bryan, TX 77802-2847

Mailing address

PO Box 9276
College Station, TX 77842-9276
Phone (979) 450-5320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1053665281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9276",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778429276",
            "telephone_number": "979-450-5320",
            "fax_number": "979-713-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BROADMOOR DR",
            "address_2": "BUILDING DII SUITE 111",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022847",
            "telephone_number": "979-450-5320",
            "fax_number": "979-713-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. ROCKETT, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "ROCKETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "979-450-5320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36024",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "36024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.