Individual provider Active NPI

Mary E Rogers, PSYD

  • Clinical Psychologist
  • Westminster, CO
National Provider Identifier
1851404339
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2335 Issued in CO
Practice address
8670 Wolff CT
Suite 130
Westminster, CO 80031-6956
Phone
(303) 430-4010
Fax
(303) 430-5306
NPI assigned
Aug 17, 2006
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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 2335 CO Primary

Addresses

Primary practice location

8670 Wolff CT
Suite 130
Westminster, CO 80031-6956

Mailing address

8670 Wolff CT
Ste 130
Westminster, CO 80031-3692
Phone (303) 430-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000066 CO Practitioner - Clinical Psychologist 4082892823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8704 Yates Dr
Suite 100D
Westminster, CO 80031-6950
Phone (303) 931-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2335COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Behavioral Health Clinical CurrentSince Aug 17, 2025 Accepting new patients

Locations

8670 Wolff Ct
Ste 130
Westminster, CO 80031
Phone (303) 430-4010

8704 Yates Dr
Ste 100D
Westminster, CO 80031
Phone (303) 430-4010

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1851404339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 WOLFF CT",
            "address_2": "STE 130",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313692",
            "telephone_number": "303-430-4010",
            "fax_number": "303-430-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WOLFF CT",
            "address_2": "SUITE 130",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316956",
            "telephone_number": "303-430-4010",
            "fax_number": "303-430-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.