Rodgers Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP2265 Issued in MN

Legal business name

RODGERS PSYCHOLOGICAL SERVICES, INC

Practice address

1595 Selby Ave
Suite 210
Saint Paul, MN 55104-6221

Phone

(651) 644-4611

Fax

(651) 644-4618

NPI assigned

Jul 1, 2008

Organization subpart

Yes

Parent organization

RODGERS PSYCHOLOGICAL SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Dr. Richard W Rodgers, EDD, ABPP

Title

Licensed Psychologist

Phone

(651) 644-4611

Specialties & licenses 1

Addresses

Other names 1

• Richard W Rodgers, EdD, ABPP Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rodgers Psychological Services, Inc

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1598982258

  O20070808000311

  Same enrollment

Part of

Rodgers Psychological Services Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rodgers Psychological Services, Inc

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1598982258
  NPPES parent name

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1174785034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE",
            "address_2": "SUITE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046221",
            "telephone_number": "651-644-4611",
            "fax_number": "651-644-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE",
            "address_2": "SUITE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046221",
            "telephone_number": "651-644-4611",
            "fax_number": "651-644-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODGERS PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RODGERS PSYCHOLOGICAL SERVICES, INC",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-644-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard W Rodgers, EdD, ABPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marissa Christine Rockenbach
• Sara Louise Rockwell
• Colton William Rod
• Megan Kristine Rodahl, OTD, OTR/L
• Robert J Roddy
• Rodgers Psychological Services, Inc
• Linda Rodgers, M.S., L.P.
• Carolina Rodriguez, DDS
• Craig Paul Rodriguez, MD
• Meghan Rodriguez, LGSW

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.