Active NPI
Nikel A. Rogers-Wood, PH.D.
- Clinical Psychologist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8748
- Practice address
- 312 S Brevard Ave
Tampa, FL 33606-2214 - Phone
- (813) 969-3878
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8748 | FL | |
| Counseling Psychologist | 103TC1900X | 2890 | TN | |
| Clinical Psychologist | 103TC0700X | PY8748 | FL | Primary |
Addresses
Primary practice location
312 S Brevard Ave
Tampa, FL 33606-2214
Mailing address
312 S Brevard Ave
Tampa, FL 33606-2214
Phone (813) 969-3878
Other practice location 1
10150 Highland Manor Dr
Suite 200
Tampa, FL 33610-9713
Phone (813) 489-9738
Other practice location 2
14310 N Dale Mabry Hwy Ste 150
Tampa, FL 33618-2050
Phone (813) 969-3878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2890 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rice Psychology Group, P.a. | Psychologist | Current | Accepting new patients |
Locations
14310 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 969-3878
312 S Brevard Ave
Tampa, FL 33606
Phone (813) 251-3878
Organizations & group practices 1
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.
-
- Psychologist
- Tampa, FL
- NPI 1376832428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1497909121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S BREVARD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062214",
"telephone_number": "813-969-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S BREVARD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062214",
"telephone_number": "813-969-3878"
}
],
"practiceLocations": [
{
"address_1": "10150 Highland Manor Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336109713",
"country_code": "US",
"telephone_number": "813-489-9738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14310 N Dale Mabry Hwy Ste 150",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336182050",
"country_code": "US",
"telephone_number": "813-969-3878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS-WOOD",
"first_name": "NIKEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8748",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "2890",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.