Individual provider Active NPI

Rhonda L. Rogers, PHD

  • Clinical Psychologist
  • Dublin, GA
National Provider Identifier
1619968138
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY004320 Issued in GA
Practice address
122 Creekview Cir
Dublin, GA 31021-3709
Phone
(478) 697-7836
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 692 NE
Clinical Psychologist 103TC0700X PSY004320 GA Primary

Addresses

Primary practice location

122 Creekview Cir
Dublin, GA 31021-3709

Mailing address

122 Creekview Cir
Dublin, GA 31021-3709
Phone (478) 697-7836

Other practice location 1

655 South 7th Street BLDG 700/700-A
78 MDG/Sgopf
Robins AFB, GA 31098-2227
Phone (478) 327-7906

Other practice location 2

2282 E 32nd Ave
East Central District Health Department
Columbus, NE 68601-7233
Phone (402) 562-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
692NEMDMental Health Counselor
PSY004320GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Munro Psy D PA Past Accepting new patients

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1619968138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CREEKVIEW CIR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213709",
            "telephone_number": "478-697-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CREEKVIEW CIR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213709",
            "telephone_number": "478-697-7836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 South 7th Street BLDG 700/700-A",
            "address_2": "78 MDG/SGOPF",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-7906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2282 E 32nd Ave",
            "address_2": "East Central District Health Department",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686017233",
            "country_code": "US",
            "telephone_number": "402-562-9000",
            "fax_number": "402-564-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RHONDA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "692",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.