Rockafellow Psychological Services PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012927 Issued in MI

Legal business name

ROCKAFELLOW PSYCHOLOGICAL SERVICES PC

Practice address

1000 W University Dr
Suite 202
Rochester, MI 48307-1873

Phone

(248) 656-0500

Fax

(248) 656-0501

NPI assigned

Oct 17, 2011

Last updated

Feb 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Dean Rockafellow, PH.D

Title

President

Phone

(248) 212-3153

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1538444930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-0500",
            "fax_number": "248-656-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-0500",
            "fax_number": "248-656-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAFELLOW PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "ROCKAFELLOW",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-212-3153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochester Medpointe Urgent Care P.C.
• Rochester Ophthalmology, PLLC (Michigan Ophthalmology)
• Rochester Pathology PC
• Rochester Radiology PC
• Rockafellow Psychological Services
• Jamie Rodda
• Kenneth Sebastian Rodrigues, M.D.
• Thomas Patrick Roeske
• Matthew Rolf
• Vanessa Kristine Romero, PA-C

• Psychologist in Rochester, MI
• Providers in Rochester, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.