MEDICARE: DR. CARIE S RODGERS 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
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist	PSY18925	CA
2	103TA0700X	Adult Development & Aging Psychologist	PSY18925	CA
3	103TB0200X	Cognitive & Behavioral Psychologist	PSY18925	CA
4	103TC0700X	Clinical Psychologist	PSY18925	CA
5	103TC2200X	Clinical Child & Adolescent Psychologist	PSY18925	CA
6	103TF0000X	Family Psychologist	PSY18925	CA
7	103TH0100X	Health Service Psychologist	PSY18925	CA
8	103T00000X	Psychologist	PSY18925	CA
9	103TP2701X	Group Psychotherapy Psychologist	PSY18925	CA
10	103TR0400X	Rehabilitation Psychologist	PSY18925	CA

General Provider Information

NPI Number	:	1790713816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARIE S RODGERS PH.D.

Provider Business Mailing Address
First Line	:	8810 RIO SAN DIEGO DRIVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108
Country	:	US
Telephone Number	:	619-400-5185
Fax Number	:	619-400-5171

Provider Business Practice Location Address
First Line	:	8810 RIO SAN DIEGO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1622
Country	:	US
Telephone Number	:	619-400-5185
Fax Number	:	619-400-5171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1437156403 — DR. RENE AIKO ENDOW-EYER PHARM.D., BCPP
Practice Location Address:

8810 RIO SAN DIEGO DR , MC 116A4Z
SAN DIEGO, CA
92108-1622

Practice Phone: 619-400-5191
Practice Fax: 619-400-5171

1821050345 — TUAN CONG DANG MD
Practice Location Address:

8810 RIO SAN DIEGO DR
SAN DIEGO, CA
92108-1622

Practice Phone: 619-400-5050
Practice Fax:

1548210883 — DR. MICHAEL A HUANG OD,MS
Practice Location Address:

8810 RIO SAN DIEGO DR , 112GZ
SAN DIEGO, CA
92108-1622

Practice Phone: 619-400-5260
Practice Fax: 619-400-5263

1609816487 — DR. CLARK EDWARD GAILEY AU.D.
Practice Location Address:

8810 RIO SAN DIEGO DR
SAN DIEGO, CA
92108-1622

Practice Phone: 619-400-5007
Practice Fax: 619-400-5008

1770514192 — DR. HONG B HUYNH M.D.
Practice Location Address:

8810 RIO SAN DIEGO DR
SAN DIEGO, CA
92108-1622

Practice Phone: 619-400-5236
Practice Fax: 619-400-5015

Directions to “ DR. CARIE S RODGERS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.