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NPI Code Detail

MEDICARE: DR. MICHAEL ROGELL PH.D.

MEDICARE: DR. MICHAEL ROGELL PH.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
1101YM0800XMental Health Counselor6401001324MI
2103TC0700XClinical Psychologist6301008175MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
161-45419OTHERMIUNITED BEHAVIORAL HEALTH
2038457OTHERMIBLUE CARE NETWORK
3680C312960OTHERMIBCBS/MICHIGAN

General Provider Information

NPI Number : 1598709172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ROGELL PH.D.
Provider Business Mailing Address
First Line : 2535 E MOUNT HOPE AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-1913
Country : US
Telephone Number : 517-372-2377
Fax Number : 517-372-2542
Provider Business Practice Location Address
First Line : 2535 E MOUNT HOPE AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-1913
Country : US
Telephone Number : 517-372-2377
Fax Number : 517-372-2542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 12/27/2019

Similar Medicare Providers

1518583467 — SAMANTHA DALY LMSW
Practice Location Address:
2535 E MOUNT HOPE AVE
LANSING, MI
48910-1913
Practice Phone: 517-648-9376
Practice Fax:
1558331249 — JENNIFER A NOVELLO LMSW, ACSW
Practice Location Address:
2535 E MOUNT HOPE AVE
LANSING, MI
48910-1913
Practice Phone: 517-999-9005
Practice Fax: 517-372-2542
1548238637 — MS. ELIZABETH MEYERS LMSW
Practice Location Address:
2535 E MOUNT HOPE AVE
LANSING, MI
48910-1913
Practice Phone: 517-862-6554
Practice Fax:
1699723841 — TERRI SOBER CSW
Practice Location Address:
2535 E MOUNT HOPE AVE
LANSING, MI
48910-1913
Practice Phone: 517-285-6974
Practice Fax:
1376674101 — MRS. KARI MARIE REHMANN
Practice Location Address:
2535 E MOUNT HOPE AVE
LANSING, MI
48910-1913
Practice Phone: 517-897-0840
Practice Fax: 517-372-2542
1669681508 — DR. FERNANDO PONCE D.C.
Practice Location Address:
2517 E MOUNT HOPE AVE
LANSING, MI
48910-1913
Practice Phone: 517-487-8960
Practice Fax: 517-487-8963

Directions to “ DR. MICHAEL ROGELL PH.D.” Practice Location

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