Individual provider Active NPI

James Glenn Rogers, PSYS.D.

  • Psychologist
  • Kalispell, MT
National Provider Identifier
1912170945
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
326 Issued in MT
Practice address
1605 Danielson Rd
Kalispell, MT 59901-7252
Phone
(406) 758-8124
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 326 MT Primary

Addresses

Primary practice location

1605 Danielson Rd
Kalispell, MT 59901-7252

Mailing address

1605 Danielson Rd
Summit Preparatory School
Kalispell, MT 59901-7252
Phone (406) 758-8124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
326MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Ranch Inc Past Accepting new patients
Summit Ranch Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1912170945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 DANIELSON RD",
            "address_2": "SUMMIT PREPARATORY SCHOOL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017252",
            "telephone_number": "406-758-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 DANIELSON RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017252",
            "telephone_number": "406-758-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JAMES",
        "middle_name": "GLENN",
        "credential": "PSYS.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.