Gimel Rogers, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29407 Issued in CA

Practice address

10065 Old Grove Rd Ste 101
San Diego, CA 92131-1664

Phone

(858) 527-1860

NPI assigned

Nov 2, 2017

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

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.

• F.I.R.E. Igniting Lives Psychology

  • Community/Behavioral Health Agency
  • Escondido, CA
  • NPI 1245115724
  NPD Authorized official
• Institute on Violence, Abuse, & Trauma @ Alliant International Univers

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1538306931
  NPD (past)

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1174035836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83652",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900830652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 OLD GROVE RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311664",
            "telephone_number": "858-527-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "GIMEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Timothy Rogers
• Donterris Rogers, PEER SUPPORT
• Duane Edward Rogers, MFT
• Elaine Margaret Rogers, PT
• Elise Rogers, APCC
• Hilary Rogers
• Jackson Rogers, MD
• James V Rogers, PSYD
• Jenny Rogers
• Justin Rogers

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.