Rondi J Rork PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1752-57 Issued in WI

Legal business name

RONDI J RORK PHD LLC

Practice address

704 Park Ave
Racine, WI 53403-1234

Phone

(262) 884-4848

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rondi J Rork, PHDNPI 1154377414

Title

Psychologist

Phone

(262) 884-4848

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rondi J Rork, PH.D.

  • Clinical Psychologist
  • Racine, WI
  • NPI 1154377414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1326310459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PARK AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031234",
            "telephone_number": "262-884-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PARK AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031234",
            "telephone_number": "262-884-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONDI J RORK PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "RORK",
        "authorized_official_first_name": "RONDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-884-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1752-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Romano
• Jeffrey Romanski
• Tristah R Romero-Kelly, APNP
• Donald Edward Romsa, DDS
• Grace Rondeau, L.P.C.
• Roots Residential Adult Family Home LLC
• Roots Residential Adult Family Homes LLC
• Rondi J Rork, PH.D.
• Susan K Rosenbaum, PT
• Dean Alan Rosenberg, OD

• Clinical Psychologist in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.