Kimberly Jones Rogers, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1587 Issued in AL

Practice address

200 Grove Park LN Ste 212
Dothan, AL 36305

Phone

(334) 714-6234

Fax

(334) 819-1987

NPI assigned

Jan 12, 2010

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 names 1

• Kimberly Michelle Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Meghani Medical, PC

  • Neurology Physician
  • Dothan, AL
  • NPI 1215005616
  NPD (past)
• Professional Resource Management of Wiregrass, LLC

  dba Southeast Neurology

  • Neurology Physician
  • Dothan, AL
  • NPI 1801163506
  NPD (past)
• Professional Resource Managment of Wiregrass, LLC

  • Psychiatry Physician
  • Ozark, AL
  • NPI 1740358837
  NPD (past)

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1356671408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 212",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055944",
            "telephone_number": "334-714-6234",
            "fax_number": "334-819-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 212",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36305",
            "telephone_number": "334-714-6234",
            "fax_number": "334-819-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1369 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363011309",
            "country_code": "US",
            "telephone_number": "334-699-8015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIMBERLY",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JONES",
            "middle_name": "MICHELLE",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Lee Robinson Jr., APRN
• Thomas Wilkes Robinson, M.D.
• Lynette Eileen Robles-Mena
• Edward Tan Loi Robson, MD
• Kellie Lynn Rogero, FNP
• Jaycee Rolf
• Susanne Alice Marie Roman
• Rooted in Resilience Therapy Services, LLC
• Sachary Rosado Caraballo, MD
• Whitnye Robin Rose

• Clinical Neuropsychologist in Dothan, AL
• Providers in Dothan, AL by specialty
• Clinical Neuropsychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.