Active NPI
Thomas Michael Rogat, PSY.D.
- Clinical Psychologist
- Beachwood, OH
National Provider Identifier
1932394582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6865
- Practice address
- 3601 Green Rd
Suite 314
Beachwood, OH 44122-5725 - Phone
- (510) 915-3252
- Fax
- (216) 223-6423
- NPI assigned
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 23025 | CA | |
| Clinical Psychologist | 103TC0700X | 6865 | OH | Primary |
Addresses
Primary practice location
3601 Green Rd
Suite 314
Beachwood, OH 44122-5725
Mailing address
3601 Green Rd
Suite 314
Beachwood, OH 44122-5725
Phone (510) 915-3252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164396 | Medicaid | OR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 23025 | CA | MD | Clinical Psychologist |
| 6865 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Therapy Institute | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1932394582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 GREEN RD",
"address_2": "SUITE 314",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225725",
"telephone_number": "510-915-3252",
"fax_number": "216-223-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 GREEN RD",
"address_2": "SUITE 314",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225725",
"telephone_number": "510-915-3252",
"fax_number": "216-223-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGAT",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 23025",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164396",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.