Christine Rogers Cork, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00970 Issued in IA

Practice address

1730 1St Ave NE
Cedar Rapids, IA 52402-5433

Phone

(319) 365-3993

Fax

(319) 364-0116

NPI assigned

Apr 12, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Christine Lynn Rogers Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Centre Psychiatric GroupGroup PAC ID 6204726342, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Centre Psychiatric Group

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1558338012
  Medicare reassignment Care Compare group
• Brandis McFarland Ma, LMHC Mental Health Counseling PLLC

  • Clinic/Center
  • Cedar Rapids, IA
  • NPI 1528573235
  NPD (past)
• Capstone Behavioral Healthcare, Inc

  • Community/Behavioral Health Agency
  • Newton, IA
  • NPI 1174598908
  NPD (past)
• Horizons, a Family Service Alliance

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1376984088
  NPD (past)
• Poweshiek County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grinnell, IA
  • NPI 1528166360
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306060108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524061408",
            "telephone_number": "319-365-3993",
            "fax_number": "319-364-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025433",
            "telephone_number": "319-365-3993",
            "fax_number": "319-364-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORK",
        "first_name": "CHRISTINE",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1306060108",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306060108",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "ROGERS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Psychologist in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.