Rondi J Rork, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1752 Issued in WI

Practice address

704 Park Ave Ste 1
Racine, WI 53403-1234

Phone

(262) 884-4848

NPI assigned

May 26, 2006

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

Enrolled in WI

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

Vanderbilt University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Rondi J Rork PHD LLC

  • Clinical Psychologist
  • Racine, WI
  • NPI 1326310459
  Medicare reassignment NPD Authorized official
• Liz Hanson Will, LLC

  • Clinical Social Worker
  • Mount Pleasant, WI
  • NPI 1043888902
  NPD (past)
• SB Hanson LCSW, LLC

  • Clinical Social Worker
  • Racine, WI
  • NPI 1831480094
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1154377414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PARK AVE STE 1",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031234",
            "telephone_number": "262-884-4848",
            "fax_number": "262-886-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PARK AVE STE 1",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031234",
            "telephone_number": "262-884-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORK",
        "first_name": "RONDI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Edward Romsa, DDS
• Grace Rondeau, L.P.C.
• Rondi J Rork PHD LLC
• Roots Residential Adult Family Home LLC
• Roots Residential Adult Family Homes LLC
• Susan K Rosenbaum, PT
• Dean Alan Rosenberg, OD
• Daniel B. Ross, M.D.
• Jennifer L Rossmann, MS, LPC-IT
• Kelli Nicole Rossmann, PTA

• Clinical Psychologist in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.