Individual provider Active NPI

Jacqueline Chapman Rogers, PSY.D.

  • Clinical Psychologist
  • Shelbyville, TN
National Provider Identifier
1609803550
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000001565 Issued in TN
Practice address
118 Maupin Cir
Shelbyville, TN 37160-3781
Phone
(931) 680-7576
Fax
(931) 536-4346
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000001565 TN Primary
Clinical Psychologist 103TC0700X 1299 KY

Addresses

Primary practice location

118 Maupin Cir
Shelbyville, TN 37160-3781

Mailing address

118 Maupin Cir
Shelbyville, TN 37160-3781
Phone (931) 680-7576

Other names 1

  • Jacqueline Chapman North Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040406000204 KY Practitioner - Clinical Psychologist 0446243497 Reassigns benefits to 2 organizations
I20160104000919 TN Practitioner - Clinical Psychologist 0446243497 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

1520 Grove St
Loudon, TN 37774-1575
Phone (865) 458-5436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1299KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Dec 1, 2020 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 18, 2021 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Stellar Inc Clinical Past Accepting new patients
Psychopharmacology Associates, Inc. Clinical Past Accepting new patients
J Chapman Psychological Associates PastSince Nov 5, 2017 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

1561 Newton Ave
Bowling Green, KY 42104
Phone (270) 842-1611

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

544 Lone Oak Rd
Paducah, KY 42003
Phone (270) 443-6543

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

1520 Grove St
Loudon, TN 37774
Phone (423) 458-5436

825 Fisher Ave
Smithville, TN 37166
Phone (615) 597-4284

Organizations & group practices 9

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1609803550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAUPIN CIR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603781",
            "telephone_number": "931-680-7576",
            "fax_number": "931-536-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAUPIN CIR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603781",
            "telephone_number": "931-680-7576",
            "fax_number": "931-536-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JACQUELINE",
        "middle_name": "CHAPMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001565",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "NORTH",
            "middle_name": "CHAPMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.