Rockafellow Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ROCKAFELLOW PSYCHOLOGICAL SERVICES

Practice address

1000 W University Dr
Suite 202
Rochester, MI 48307-1873

Phone

(248) 656-0500

Fax

(248) 656-0501

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Dean Rockafellow, PH.D., LP

Title

President/Owner

Phone

(248) 656-0500

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1790037000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-0500",
            "fax_number": "248-656-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-0500",
            "fax_number": "248-656-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAFELLOW PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "ROCKAFELLOW",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-656-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rockafellow Psychological Services PC
• Jamie Rodda
• Kenneth Sebastian Rodrigues, M.D.
• Thomas Patrick Roeske
• Matthew Rolf

• Clinical Psychologist in Rochester, MI
• Providers in Rochester, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.