KENNETH CHARLES ROGERS (NPI# 1922596998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922596998 |
| Entity Type | Individual |
| Full Name | KENNETH CHARLES ROGERS |
| Credential | ED.D. |
| Practice Address |
425 Harvard St Dorchester MA 02124-2737 |
| Mailing Address |
294 Blue Hill Ave Milton MA 02186-1015 |
| Practice Telephone | 6177400109 |
| Practice Fax Number | 6177400110 |
| Mailing Telephone | 6172916927 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
2818 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528458072 | Kenneth Rogers | Peer Specialist | 122 Bow St Ste A, Fayetteville, NC 28301-2308 | 2015-02-04 |
| 1811337124 | Kenneth Alexander Rogers | Chiropractor | 4036-b3 River Oaks Dr, Myrtle Beach, SC 29579-6615 | 2013-07-01 |
| 1174643431 | Kenneth Martin Rogers | Case Manager/Care Coordinator | 3150 Boynton Drive, Ringgold, GA 30736 | 2007-03-30 |
| 1558495580 | Kenneth Thomas Rogers | Psychiatry & Neurology | 1884 Columbia Rd Nw, Unit 316, Washington, DC 20009-5155 | 2007-03-14 |
| 1215099163 | Kenneth Emerson Rogers | Psychologist | 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 | 2006-12-15 |
| 1699776609 | Kenneth John Rogers | Specialist/Technologist | 416 Avondale Ave, Haddonfield, NJ 08033-2810 | 2005-08-02 |
| 1356712301 | Kenneth Rogers | Marriage & Family Therapist | 4010 Barranca Pkwy Ste 252, Irvine, CA 92604-1716 | 2015-10-16 |
| 1417354994 | Kenneth Rogers Jr. | Counselor | 185 Devonshire St, Suite 502, Boston, MA 02110-1407 | 2014-11-26 |
| 1760679153 | Kenneth Paul Rogers | Pharmacist | 1164 Rutherford Rd, Greenville, SC 29609-3906 | 2007-09-28 |
| 1477653855 | Kenneth A Rogers Jr. | Otolaryngology | 3435 Nw 56th, Suite 711a, Oklahoma City, OK 73112 | 2006-09-25 |
| Street Address |
425 HARVARD ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467968610 | Charlotte Smalls | Social Worker | 425 Harvard St, Dorchester, MA 02124-2737 | 2017-12-26 |
| 1043769177 | Rachel Marino | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124-2737 | 2016-09-30 |
| 1053712174 | Susanne Adams | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124-2737 | 2014-09-08 |
| 1841629409 | Kristine Morin Crockett | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124-2737 | 2013-11-04 |
| 1598017410 | Sara Davis Helm | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124-2737 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312755 | Daniel Engmann | Psychologist | 316 Main St Ste 202, Worcester, MA 01608-1553 | 2020-09-25 |
| 1750903738 | Corrina D Salo | Psychologist | 5 Alcott St, Acton, MA 01720-5501 | 2020-05-12 |
| 1285286047 | Cinthia Diaz-ramirez | Psychologist | 4 Beverly Commons Dr Apt 36, Beverly, MA 01915-5559 | 2019-07-11 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1124510383 | Deborah Christine Nelson | Psychologist | 39 Boxford Rd, Ipswich, MA 01938-1025 | 2018-06-04 |
| 1104358696 | Chloe Greenbaum | Psychologist | 872 Massachusetts Avenue, Suite 2-1, Cambridge, MA 02139-2316 | 2017-04-03 |
| 1801281233 | Maria Abreu | Psychologist | 4 Royal St, Lawrence, MA 01841-4120 | 2015-04-02 |
| 1003226713 | Kristy Shockley | Psychologist | 96 W Meadow Rd, Lowell, MA 01854-1421 | 2014-05-02 |
| 1174811426 | Rachel Fox-weinberg | Psychologist | 12 Butternut Rd., Westford, MA 01886-1351 | 2011-07-20 |
| 1770763237 | Lissa Young | Psychologist | 1017 Turnpike St Ste 12c, Canton, MA 02021-2847 | 2007-11-13 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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| 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.