Gary B. Rochelle, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

15435 Issued in TX

Practice address

2301 Ohio Dr
Ste. 130
Plano, TX 75093-3927

Phone

(214) 498-9392

Fax

(972) 596-0238

NPI assigned

Apr 10, 2006

Last updated

Dec 7, 2016By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Brain Behavior Consultants

  • Adult Mental Health Clinic/Center
  • Plano, TX
  • NPI 1760857577
  Medicare reassignment NPD Authorized official
• Dr Associates of North Texas

  • Clinical Neuropsychologist
  • Plano, TX
  • NPI 1790050375
  NPD Authorized official
• Mind Body Wellness PC

  • Psychologist
  • Dallas, TX
  • NPI 1710929450
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1932162898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COIT RD",
            "address_2": "STE. 480, PMB 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753797",
            "telephone_number": "214-498-9392",
            "fax_number": "972-596-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "STE. 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933927",
            "telephone_number": "214-498-9392",
            "fax_number": "972-596-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHELLE",
        "first_name": "GARY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "15435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "030388921",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "030388921",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0090HV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon A Robles, M.D.
• Savannah Lynn Robles, PT,DPT
• Robotic and Surgical Assistants
• Nyasia Robreno
• Valerie Rocha
• Aurora Borealis Rochin, CCC-SLP
• Christal Domonique Rockholt, FNP
• Rockwall Rehab Hospital LTD (Integra Hospital Plano)
• Rockwall Rehab Hospitals, LTD
• Rockwall Rehab Hospitals, LTD

• Clinical Neuropsychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.