Kenneth Charles Rogers, ED.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

2818 Issued in MA

Practice address

425 Harvard St
Dorchester, MA 02124-2737

Phone

(617) 740-0109

Fax

(617) 740-0110

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1922596998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 BLUE HILL AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861015",
            "telephone_number": "617-291-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HARVARD ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242737",
            "telephone_number": "617-740-0109",
            "fax_number": "617-740-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "2818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rodriguez
• Mia Isabel Rodriguez, DDS
• Joshua Roe
• Anne P Rogal, MD
• Barbara A Rogers, NP
• Janelle Sherry Romain, A-GNP-C
• Royletta Romain, MED, RD, LDN
• Francisco Javier Roman, MS
• Emilys Yaret Romero-Arias
• Helen M Romero, MSW LICSW

• Health Service Psychologist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Health Service Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.