Active NPI
J'Dene Michelle Rogers, PH.D
- Psychologist
- Muskogee, OK
National Provider Identifier
1760540207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 915
- Practice address
- 2024 W Broadway St
Muskogee, OK 74401-2758 - Phone
- (918) 682-9292
- Fax
- (918) 682-9254
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 9, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 915 | OK | Primary |
Addresses
Primary practice location
2024 W Broadway St
Muskogee, OK 74401-2758
Mailing address
2024 W Broadway St
Muskogee, OK 74401-2758
Phone (918) 682-9292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
814 W Okmulgee St
Muskogee, OK 74401-6839
Phone (918) 682-9292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Pathways Inc | Current | Accepting new patients | |
| J'Dene Michelle Rogers | Past | Accepting new patients |
Locations
814 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-9292
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Muskogee, OK
- NPI 1780029793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760540207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012758",
"telephone_number": "918-682-9292",
"fax_number": "918-682-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012758",
"telephone_number": "918-682-9292",
"fax_number": "918-682-9254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "J'DENE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- 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.