MARTHA J ROGERS (PH.D.) – Clinical Psychologist, NPI 1639352669

MARTHA J ROGERS (PH.D.) is a healthcare provider. based in Yellow springs, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6404 (OH). The NPI Number for MARTHA J ROGERS (PH.D.) is 1639352669

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA J ROGERS (PH.D.)
NPI
1639352669
Phone
(937) 767-9171
Address
416 XENIA AVE
Enumeration Date
13 December 2007
Last Update Date
22 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9377679171
Graduation Year
2005 (21 years ago)
PAC ID
1456431121
Group Practice PAC ID
0749266591
Professional Enrollment ID
I20080108000077
Address ID
OH453871836YE416XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for MARTHA J ROGERS (PH.D.)

  • 416, Xenia Avenue, Yellow Springs Historic District, Yellow Springs, Greene County, Ohio, 45387, United States

    YELLOW SPRINGS, OH 453871836

    Phone: (937) 767-9171

    Fax: (937) 767-9175

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080108000077IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45387)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749266591View full group profile
NameSpecialtyState
Mental Health CounselorOH
-OH
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorWA
Mental Health CounselorOH
Clinical PsychologistKY
Clinical PsychologistOH

Reviews

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Frequently asked questions

What federal number belongs to MARTHA J ROGERS (PH.D.)?
The federal identifier for MARTHA J ROGERS (PH.D.) is NPI 1639352669.
Is MARTHA J ROGERS (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARTHA J ROGERS (PH.D.)?
The page reflects Clinical Psychologist for MARTHA J ROGERS (PH.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MARTHA J ROGERS (PH.D.)?
The snapshot lists Yellow Springs, Ohio for MARTHA J ROGERS (PH.D.); download NPPES for the complete set.
How can I contact MARTHA J ROGERS (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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