Organization Active NPI

Donna R B Rogers PLLC

  • Clinical Psychologist
  • Holly Springs, NC
National Provider Identifier
1811222342
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4436 Issued in NC
Legal business name
DONNA R B ROGERS PLLC
Practice address
1140 Holly Springs Rd
Suite 207
Holly Springs, NC 27540-9634
Phone
(919) 802-0312
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Authorized official

Name
Donna RB Rogers, PHD
Title
Licensed Clinical Psychologist
Phone
(919) 802-0312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4436 NC Primary

Addresses

Primary practice location

1140 Holly Springs Rd
Suite 207
Holly Springs, NC 27540-9634

Mailing address

3317 Prospect Pkwy
Durham, NC 27703-8359
Phone (702) 374-3282

Other identifiers 2

IdentifierTypeStateIssuer
002602088MedicaidNV
4436OtherNCNC STATE LICENSE

National Provider Directory

National Provider Directory

Locations

8975 S Pecos Rd
Ste 8D
Henderson, NV 89074
Phone (702) 378-4160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1811222342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 PROSPECT PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038359",
            "telephone_number": "702-374-3282",
            "fax_number": "919-800-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS RD",
            "address_2": "SUITE 207",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409634",
            "telephone_number": "919-802-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA R B ROGERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "RB",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-802-0312",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602088",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "4436",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.