Active NPI
David A Rogers, PHD
- Psychologist
- Harrisburg, PA
National Provider Identifier
1225038037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004366L
- Practice address
- 6100 Jonestown Rd
Harrisburg, PA 17112-2607 - Phone
- (717) 671-9688
- Fax
- (717) 541-8838
- NPI assigned
- Jul 22, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004366-L | PA | |
| Psychologist | 103T00000X | PS004366L | PA | Primary |
Addresses
Primary practice location
6100 Jonestown Rd
Harrisburg, PA 17112-2607
Mailing address
6100 Jonestown Rd
Harrisburg, PA 17112-2607
Phone (717) 671-9688
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032689 | Other | PA | BLUESHIELD PIN |
| A130913 | Other | PA | VALUEOPTIONS PIN |
| 01118301 | Other | PA | BLUECROSS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2012 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004366-L | PA | MD | Psychologist |
| PS004366L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1225038037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 JONESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122607",
"telephone_number": "717-671-9688",
"fax_number": "717-541-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 JONESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122607",
"telephone_number": "717-671-9688",
"fax_number": "717-541-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004366-L",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004366L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD PIN",
"identifier": "032689",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS PIN",
"identifier": "A130913",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS PIN",
"identifier": "01118301",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.