Individual provider Active NPI

Nikel A. Rogers-Wood, PH.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1497909121
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8748 Issued in FL
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

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2890TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rice Psychology Group, P.a. Psychologist CurrentSince Feb 14, 2021 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.

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

Verify at the official NPI Registry.