Active NPI
Mark E. Rohde, PH.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1497841332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1400
- Practice address
- 3040 E Cactus Rd
Suite a
Phoenix, AZ 85032-7196 - Phone
- (602) 494-1515
- Fax
- (602) 494-3131
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1400 | AZ | |
| Psychologist | 103T00000X | 1400 | AZ | Primary |
| Counseling Psychologist | 103TC1900X | 1400 | AZ | |
| Group Psychotherapy Psychologist | 103TP2701X | 1400 | AZ | |
| Family Psychologist | 103TF0000X | 1400 | AZ |
Addresses
Primary practice location
3040 E Cactus Rd
Suite a
Phoenix, AZ 85032-7196
Mailing address
3040 E Cactus Rd
Suite a
Phoenix, AZ 85032-7196
Phone (602) 494-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1400 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1497841332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 E CACTUS RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327196",
"telephone_number": "602-494-1515",
"fax_number": "602-494-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 E CACTUS RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327196",
"telephone_number": "602-494-1515",
"fax_number": "602-494-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "MARK",
"middle_name": "E.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "1400",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1400",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "1400",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "AZ",
"license": "1400",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "AZ",
"license": "1400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.