J'Dene Michelle Rogers

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

915 Issued in OK

Legal business name

J'DENE MICHELLE ROGERS

Practice address

2024 W Broadway St
Muskogee, OK 74401-2758

Phone

(918) 682-9292

Fax

(918) 682-5492

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jdene Michelle Rogers, PH.DNPI 1760540207

Title

Ownerceo

Phone

(918) 682-9292

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrity Pathways Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J'Dene Michelle Rogers, PH.D

  • Psychologist
  • Muskogee, OK
  • NPI 1760540207
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1154471027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012758",
            "telephone_number": "918-682-9292",
            "fax_number": "918-682-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012758",
            "telephone_number": "918-682-9292",
            "fax_number": "918-682-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J'DENE MICHELLE ROGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JDENE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNERCEO",
        "authorized_official_telephone_number": "918-682-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100840290B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrity Pathways Inc
• Anna Marie Irwin, M.A.
• Brooke Leigh Isbell, BSN RN
• J David Wayman MD PLLC
• J S Rutherford MD PC
• Jack C. Montgomery VA Medical Center
• Jack C. Montgomery VA Medical Center
• Jack E Weaver, MD PC
• Jackie Fields Foundation
• Margo Jackson-Lockyer, MD

• Clinical Psychologist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.