DR. ROGER KEROACK (NPI# 1316992837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316992837 |
| Entity Type | Individual |
| Full Name | DR. ROGER KEROACK |
| Credential | PHD |
| Practice Address |
Shcc, 1 Fletcher Drive Gainesville FL 32611-7500 |
| Mailing Address |
2222 Nw 20th St Gainesville FL 32605-3986 |
| Practice Telephone | 3523921171 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY2755 | FL | Behavioral Health & Social Service Providers |
| Street Address |
SHCC, 1 FLETCHER DRIVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32611-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578761 | Lynne G. Goldman | Counselor | Shcc, 1 Fletcher Drive, Gainesville, FL 32611-7500 | 2006-04-18 |
| 1245295278 | Jackie L. Ayers | Psychologist | Shcc, 1 Fletcher Drive, Gainesville, FL 32611-7500 | 2006-04-20 |
| 1780649038 | Phillip Woodrow Arnold | Physician Assistant | Shcc, 1 Fletcher Drive, Gainesville, FL 32611-7500 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607813 | Sayuri Kitada | Student in an Organized Health Care Education/Training Program | 1908 Stadium Road, Gainesville, FL 32611 | 2018-11-13 |
| 1780938621 | Analesa Clarke | Psychologist | 3190 Radio Rd, Gainesville, FL 32611 | 2012-10-30 |
| 1659496107 | J. Chris Patrick | Specialist/Technologist | Bhg Stadium, Gale Lemerand Dr., Gainesville, FL 32611 | 2007-03-20 |
| 1780711424 | Susan A Donaldson | Nurse Practitioner | 101 S Newell Avenue, Gainesville, FL 32611 | 2007-02-28 |
| 1225117039 | Lance S. Governale | Neurological Surgery | 1149 South Newell Drive;, Univ of Florida; Dept of Neurosurgery; Room L2-100, Gainesville, FL 32611 | 2006-11-03 |
| 1851493191 | Larry Markel Lopez | Pharmacist | 101 South Newell Dr., Hpnp Bldg 212; Room 3309, Gainesville, FL 32611 | 2006-09-05 |
| 1194708065 | Pamela Pieper | Nurse Practitioner | 101 S Newell Drive, Gainesville, FL 32611 | 2005-11-23 |
| 1003436130 | Gerald Richardson IIi | Student in an Organized Health Care Education/Training Program | 100 Newell Dr, Gainesville, FL 32611 | 2020-04-18 |
| 1033774120 | George Joseph Raineri | Student in an Organized Health Care Education/Training Program | 100 S Newell Dr, L4100, Mcknight Brain Institute, Gainesville, FL 32611 | 2019-05-05 |
| 1962907691 | Regan Kemp | Specialist/Technologist | 3150 Hull Rd, Gainesville, FL 32611 | 2018-03-26 |
| Find all providers in zip 32611 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1083103022 | Lindsey Bowman | Psychologist | University of Florida 1600 Sw Archer Rd G-901, Gainesville, FL 32610-0001 | 2018-05-04 |
| 1538603964 | Angela Koivula | Psychologist | 111 Se 1st Ave Ste 160, Gainesville, FL 32601-9914 | 2016-12-04 |
| 1851704324 | Mary L. Horn, Phd | Psychologist | 2131 Nw 40th Ter Ste C, Gainesville, FL 32605-5800 | 2014-06-03 |
| 1497184121 | Sherry Diane Broadwell | Psychologist | 517b Green Street, Gainesville, GA 30501 | 2013-11-04 |
| 1326396755 | London Butterfield | Psychologist | 2121 B Nw Terr, Gainesville, FL 32605-5813 | 2012-08-15 |
| 1548573272 | Monika Bigler Rosier | Psychologist | 1810 Nw 6th St Ste C, Gainesville, FL 32609 | 2010-07-22 |
| 1922335017 | Michelle M. Bishop, Phd, LLC | Psychologist | 2653 Sw 87th Dr Ste A, Gainesville, FL 32608-9313 | 2009-11-10 |
| 1770818924 | Evangelia Banou | Psychologist | 101 S Newell Dr Rm 3151, Gainesville, FL 32611-0001 | 2009-10-06 |
| 1538321468 | Susan Elizabeth Davis | Psychologist | 912 Nw 57th St Ste B, Gainesville, FL 32605-6425 | 2008-07-01 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32611 |
Please comment or provide details below to improve the information on DR. ROGER KEROACK.
| 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.