DR. KELLY ROGALSKI


Address: 409 Plymouth Rd Ste 124, Plymouth, MI 48170-4080
Phone: 2487563518

DR. KELLY ROGALSKI (NPI# 1033328356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033328356
Entity Type Individual
Full Name DR. KELLY ROGALSKI
Credential M.D.
Practice Address 409 Plymouth Rd Ste 124
Plymouth
MI 48170-4080
Practice Telephone 2487563518
Practice Fax Number 8336030133
Mailing Telephone 2487563518
Mailing Fax Number 8336030133
Enumeration Date 2007-05-22
Last Update Date 2018-11-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
4301086191 MI Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
4301086191 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 409 PLYMOUTH RD STE 124
City PLYMOUTH
State MI
Zip Code 48170-4080

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720611734 Brightside Medical of Michigan, P.C. Psychiatry & Neurology Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 2020-02-18
1265075279 Mast Enterprises Home Health 40800 Five Mile Rd Ste C, Plymouth, MI 48170 2019-10-22
1003470964 Smiley Private Homecare LLC Technician, Pathology 1098 Ann Arbor Rd #249, Plymouth, MI 48170 2019-04-26
1275003832 Atsalis Dental Excellence Dentist 690 South Main St, Plymouth, MI 48170 2018-11-27
1275003808 Danielle Cefalo Speech-Language Pathologist 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 2018-11-27
1962987966 Mindful Wellness Counseling, LLC Social Worker 9266 Northern Ave, Plymouth, MI 48170 2018-09-26
1972094027 Plymouth Urgent Care Walk-in Clinic LLC Clinic/Center 1498 S Sheldon Rd, Plymouth, MI 48170 2018-05-24
1356843791 Polaris Pharmacy Services of Michigan, LLC Pharmacy 9131 General Court, Plymouth, MI 48170 2018-03-01
1528569787 Alcona Citizens for Health Inc Clinic/Center 101 S Union St Unit 101, Plymouth, MI 48170 2018-02-23
1073029484 Holly Ann Haase Technician/Technologist 650 Church St, Plymouth, MI 48170 2017-12-20
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992092993 Aditi Garg Psychiatry & Neurology 2855 Campus Dr Ste 660, Plymouth, MN 55441-2665 2011-06-29
1548428808 Israel O Sokeye Psychiatry & Neurology 3021 Harbor Ln N, #206, Plymouth, MN 55447-5109 2008-05-23
1790810984 Joseph Seung Won Lee Psychiatry & Neurology 11505 36th Ave N, Plymouth, MN 55441-2304 2007-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316376056 Esmaeil Emami Psychiatry & Neurology 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 2013-11-04
1154760312 Samantha Fugate Kennedy Psychiatry & Neurology 909 Fee Rd Ste B119, East Lansing, MI 48824 2013-06-21
1407199961 David Donald Krohn Psychiatry & Neurology 563 Highland Park Dr, Traverse City, MI 49686-2863 2013-04-03
1164712055 Tatjana Maric Psychiatry & Neurology 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 2011-04-12
1972893824 Katherine Barbara Krive Psychiatry & Neurology 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 2011-04-12
1104128602 Hope Network Behavioral Health Services Psychiatry & Neurology 3361 36th Street, Grand Rapids, MI 49512 2010-12-03
1295056653 Veronica Yap Tan Psychiatry & Neurology 23354 Portage Way, Apt. 2212, Novi, MI 48375 2010-06-18
1548588874 Katie Alanna Keller Psychiatry & Neurology 79 Alexandrine West, Detroit, MI 48201 2010-05-11
1538390133 Behavioral Health Associates Pllc Psychiatry & Neurology 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 2009-07-30
1235375775 Kristine Baker Psychiatry & Neurology 721 Cherokee St, Traverse City, MI 49684-1401 2009-01-06
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Competitor

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City PLYMOUTH
Zip Code 48170

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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