Organization Active NPI

Steven D. Rogers, PH.D. P.C.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1447401674
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1750 Issued in GA
Legal business name
STEVEN D. ROGERS, PH.D. P.C.
Practice address
1760 Century Blvd NE Ste B
Atlanta, GA 30345-3310
Phone
(404) 248-8032
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Steven D. Rogers, PH.D.
Title
Psychologist
Phone
(404) 216-3491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY1750 GA Primary

Addresses

Primary practice location

1760 Century Blvd NE Ste B
Atlanta, GA 30345-3310

Mailing address

1291 Jody LN NE
Atlanta, GA 30329-3519
Phone (404) 216-3491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 11, 2019 through Apr 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

27 Lenox Pointe NE
Atlanta, GA 30324
Phone (404) 237-3210

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1447401674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 JODY LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293519",
            "telephone_number": "404-216-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CENTURY BLVD NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453310",
            "telephone_number": "404-248-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. ROGERS, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-216-3491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.