Active NPI
Rollin S. Rhodes, PH.D.
- Clinical Psychologist
- Elizabethtown, KY
National Provider Identifier
1710941307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 370
- Practice address
- 915 Memorial CT
Elizabethtown, KY 42701-2525 - Phone
- (270) 765-6709
- Fax
- (270) 769-3779
- NPI assigned
- Apr 12, 2006
- Last updated
- Jan 24, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 370 | KY | Primary |
Addresses
Primary practice location
915 Memorial CT
Elizabethtown, KY 42701-2525
Mailing address
915 Memorial CT
Elizabethtown, KY 42701-2525
Phone (270) 765-6709
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
| License | State | Type | Specialty |
|---|---|---|---|
| 370 | KY | MD | Clinical Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elizabethtown Psychologists PSC
- Clinical Psychologist
- Elizabethtown, KY
- NPI 1457375131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1710941307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 MEMORIAL CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012525",
"telephone_number": "270-765-6709",
"fax_number": "270-769-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MEMORIAL CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012525",
"telephone_number": "270-765-6709",
"fax_number": "270-769-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "ROLLIN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.