Kenneth C. Rodgers, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1114662501 Issued in UT

Practice address

8160 Highland Dr
# 102
Sandy, UT 84093-6492

Phone

(801) 943-3319

Fax

(801) 733-7004

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Male

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Kenneth C. Rodgers, PH.D., P.C.

  • Clinical Psychologist
  • Sandy, UT
  • NPI 1841212727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1134306558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 HIGHLAND DR",
            "address_2": "# 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936492",
            "telephone_number": "801-943-3319",
            "fax_number": "801-733-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 HIGHLAND DR",
            "address_2": "# 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936492",
            "telephone_number": "801-943-3319",
            "fax_number": "801-733-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "1114662501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Simone Robles
• Jackie Z Rock, LCMHC
• Rocky Mountain Medical, Inc
• Jackie P. Rodat, LMFT
• Hugh J Roddy, MD
• Cindy Melo Rodgerson
• Hugo E Rodier, M.D.
• Breno T Rodrigues, PT, DPT
• Barbara Ann Rodriguez, WHNP-BC
• Josie S Rodriguez, CNM

• Clinical Psychologist in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.