Shacunda Joytae Burton Rodgers, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20156 Issued in CA

Practice address

1531 Corporate Way
Sacramento, CA 95831-3888

Phone

(916) 607-8706

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shacunda Joytae Burton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1346396777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 CORPORATE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313888",
            "telephone_number": "916-607-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 CORPORATE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313888",
            "telephone_number": "916-607-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "SHACUNDA",
        "middle_name": "JOYTAE BURTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHACUNDA",
            "last_name": "BURTON",
            "middle_name": "JOYTAE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charis Leann Rodgers, M.S.
• Demond Keith Rodgers Jr.
• Isabel Rodgers
• Michelle Rodgers
• Olga Vasilyevna Rodgers, PA-C
• Sharon Rodgers
• Jeff D. Rodgerson, MD
• Eve T. Rodler, M.D.
• Robin L Rodness
• Julianna Rodrigeuz

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.