Individual provider Active NPI

Keyoni Rogers

  • Psychologist
  • Glenside, PA
National Provider Identifier
1275013203
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020318 Issued in PA
Practice address
140 E Glenside Ave # 1027
Glenside, PA 19038-4534
Phone
(267) 730-4980
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020318 PA Primary

Addresses

Primary practice location

140 E Glenside Ave # 1027
Glenside, PA 19038-4534

Mailing address

140 E Glenside Ave # 1027
Glenside, PA 19038-4534
Phone (267) 730-4980

Other practice location 1

2132 S 12th St Ste 103
Allentown, PA 18103-4814
Phone (484) 350-3447

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

State licenses

LicenseStateTypeSpecialty
PS020318PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Within Psychological Services, LLC Psychologist Current Accepting new patients
Penndel Mental Health Center, Inc. Past Accepting new patients
Penndel Mental Health Center Past Accepting new patients

Locations

140 E Glenside Ave
Glenside, PA 19038
Phone (267) 730-4980

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1275013203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E GLENSIDE AVE # 1027",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384534",
            "telephone_number": "267-730-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E GLENSIDE AVE # 1027",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384534",
            "telephone_number": "267-730-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2132 S 12th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181034814",
            "country_code": "US",
            "telephone_number": "484-350-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KEYONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.