Active NPI
Donna R Rogers, PHD
- Clinical Psychologist
- Holly Springs, NC
National Provider Identifier
1477538288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4436
- Practice address
- 1140 Holly Springs Rd
Suite 207
Holly Springs, NC 27540-9634 - Phone
- (919) 802-0312
- Fax
- (919) 800-3060
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0332 | NV | |
| Clinical Psychologist | 103TC0700X | 4436 | NC | Primary |
Addresses
Primary practice location
1140 Holly Springs Rd
Suite 207
Holly Springs, NC 27540-9634
Mailing address
3317 Prospect Pkwy
Durham, NC 27703-8359
Phone (702) 374-3282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002602088 | Medicaid | NV | |
| 4436 | Other | NC | NC STATE LICENSE |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0332 | NV | MD | Clinical Psychologist |
| 4436 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683936000000",
"number": "1477538288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 PROSPECT PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277038359",
"telephone_number": "702-374-3282",
"fax_number": "919-800-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 HOLLY SPRINGS RD",
"address_2": "SUITE 207",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275409634",
"telephone_number": "919-802-0312",
"fax_number": "919-800-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DONNA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2023-05-13",
"certification_date": "2023-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0332",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002602088",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSE",
"identifier": "4436",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.