Organization Active NPI

Gerald W Rogers M.a.,M.S.W.,PHD,P.a.

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1295953156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GERALD W ROGERS M.A.,M.S.W.,PHD,P.A.
Practice address
7480 Golden Pond Suite 400
Amarillo, TX 79121
Phone
(806) 354-9996
Fax
(806) 354-9995
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gerald Wayne Rogers, PHD, P.A.
Title
Licensed Clinical Social Worker
Phone
(806) 354-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X TX Primary

Addresses

Primary practice location

7480 Golden Pond Suite 400
Amarillo, TX 79121

Mailing address

PO Box 50660
Amarillo, TX 79159-0660
Phone (806) 354-9996

Other identifiers 2

IdentifierTypeStateIssuer
11662504OtherTXCAQH
1952499451OtherTXNPI

National Provider Directory

National Provider Directory
Tax ID family
Gerald Rogers Ma MSW PHD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295953156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50660",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590660",
            "telephone_number": "806-354-9996",
            "fax_number": "806-354-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 GOLDEN POND SUITE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79121",
            "telephone_number": "806-354-9996",
            "fax_number": "806-354-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD W ROGERS M.A.,M.S.W.,PHD,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "806-354-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, P.A."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11662504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952499451",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.