Individual provider Active NPI

Roger William Coger, PH.D.

  • Clinical Psychologist
  • Simi Valley, CA
National Provider Identifier
1780741967
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7966 Issued in CA
Practice address
2345 Erringer Rd
Suite 217
Simi Valley, CA 93065-2235
Phone
(805) 526-4444
Fax
(805) 526-4446
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7966 CA Primary

Addresses

Primary practice location

2345 Erringer Rd
Suite 217
Simi Valley, CA 93065-2235

Mailing address

2345 Erringer Road
Suite 217
Simi Valley, CA 93065-2252
Phone (805) 526-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY7966CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1780741967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 ERRINGER ROAD",
            "address_2": "SUITE 217",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652252",
            "telephone_number": "805-526-4444",
            "fax_number": "805-526-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 ERRINGER RD",
            "address_2": "SUITE 217",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652235",
            "telephone_number": "805-526-4444",
            "fax_number": "805-526-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGER",
        "first_name": "ROGER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.