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NPI Code Detail

MEDICARE: DR. WILLIAM MICHAEL ROGERS PSY.D.

MEDICARE: DR. WILLIAM MICHAEL ROGERS PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPY00003741WA
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)WA

General Provider Information

NPI Number : 1285824458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM MICHAEL ROGERS PSY.D.
Provider Business Mailing Address
First Line : 7406 27TH ST W STE 210
Second Line :
City : UNIVERSITY PLACE
State : WA
Zip : 98466-4637
Country : US
Telephone Number : 253-444-8990
Fax Number : 253-442-6117
Provider Business Practice Location Address
First Line : 7406 27TH ST W STE 210
Second Line :
City : UNIVERSITY PLACE
State : WA
Zip : 98466-4637
Country : US
Telephone Number : 253-444-8990
Fax Number : 253-442-6117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 03/16/2026

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