Active NPI
Steven D. Rogers, PH.D. P.C.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1447401674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1750
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.