John Peter Rogowski Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001793 Issued in CT

Practice address

2819 Main St
Bridgeport, CT 06606-4202

Phone

(203) 367-5589

Fax

(203) 330-0838

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Columbia Mental Health LLC

  • Psychiatry Physician
  • Bridgeport, CT
  • NPI 1205077856
  NPD (past)
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060

  Clinical

  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679620348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064202",
            "telephone_number": "203-367-5589",
            "fax_number": "203-330-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064202",
            "telephone_number": "203-367-5589",
            "fax_number": "203-330-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOWSKI",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "338435",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00039160",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "0001107167",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BCBS,",
            "identifier": "060001793CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pilar Alexandra Rodriguez, OTRL
• Stacey Rodriguez
• Rogers Mental Wellness Services, LLC
• Denise Rogers, DENTAL HYGIENIST
• Renee Rogers, M.A.
• Carolyn Rohrig, CRNA
• Ingrid A. Rojas
• Luis E Rojas, APRN
• Maria Cecilia Rojas, RDH
• Frank J Romano, DMD

• Clinical Psychologist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.