Active NPI
Michael Rogell, PH.D.
- Clinical Psychologist
- Lansing, MI
National Provider Identifier
1598709172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008175
- Practice address
- 2535 E Mount Hope Ave
Lansing, MI 48910-1913 - Phone
- (517) 372-2377
- Fax
- (517) 372-2542
- NPI assigned
- Jun 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401001324 | MI | |
| Clinical Psychologist | 103TC0700X | 6301008175 | MI | Primary |
Addresses
Primary practice location
2535 E Mount Hope Ave
Lansing, MI 48910-1913
Mailing address
2535 E Mount Hope Ave
Lansing, MI 48910-1913
Phone (517) 372-2377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-45419 | Other | MI | UNITED BEHAVIORAL HEALTH |
| 038457 | Other | MI | BLUE CARE NETWORK |
| 680C312960 | Other | MI | BCBS/MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000309 | MI | Practitioner - Clinical Psychologist | 8224048665 | Practice locations: Lansing, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401001324 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1598709172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 E MOUNT HOPE AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489101913",
"telephone_number": "517-372-2377",
"fax_number": "517-372-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 E MOUNT HOPE AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489101913",
"telephone_number": "517-372-2377",
"fax_number": "517-372-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGELL",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401001324",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "61-45419",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "038457",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/MICHIGAN",
"identifier": "680C312960",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.