Active NPI
Mai-Lan A Rogoff, M.D.
- Child & Adolescent Psychiatry Physician
- Worcester, MA
National Provider Identifier
1215052006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 44590
- Practice address
- Umass Medical School
55 Lake Ave North
Worcester, MA 01655 - Phone
- (508) 856-2285
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 44590 | MA | Primary |
Addresses
Primary practice location
Umass Medical School
55 Lake Ave North
Worcester, MA 01655
Mailing address
U Mass Medical School
55 Lake Avenue North
Worcester, MA 01655
Phone (508) 856-2285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44590 | MA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215052006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "U MASS MEDICAL SCHOOL",
"address_2": "55 LAKE AVENUE NORTH",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01655",
"telephone_number": "508-856-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UMASS MEDICAL SCHOOL",
"address_2": "55 LAKE AVE NORTH",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01655",
"telephone_number": "508-856-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGOFF",
"first_name": "MAI-LAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "44590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.