Active NPI
Devorah Rodgers, MFT
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1639200496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42720
- Practice address
- 415 N Camden Dr
Ste. 107
Beverly Hills, CA 90210-4410 - Phone
- (310) 592-2004
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42720 | CA | Primary |
Addresses
Primary practice location
415 N Camden Dr
Ste. 107
Beverly Hills, CA 90210-4410
Mailing address
415 N Camden Dr
Ste. 107
Beverly Hills, CA 90210-4410
Phone (310) 592-2004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42720 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294444800000",
"number": "1639200496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CAMDEN DR",
"address_2": "STE. 107",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104410",
"telephone_number": "310-592-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CAMDEN DR",
"address_2": "STE. 107",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104410",
"telephone_number": "310-592-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "DEVORAH",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2011-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Rodeo Aesthetics, Inc.
- Rodeo Drive Plastic Surgery Inc (Rodeo Drive Outpatient Surgery Center)
- Rodeo Medical Group
- Rodeo Recovery LLC
- Rodeo Surgical Institute Inc.
- Rodney Bluestone Medical Corporation
- Rodney Collins, M.D., a Professional Corporation
- Rodney D Collins MD PC
- Catrina Rodriguez, DMD
- Markus A Rogan, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.