DR. DARYN ROGERS (NPI# 1538310685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538310685 |
| Entity Type | Individual |
| Full Name | DR. DARYN ROGERS |
| Other Name | MS. DARYN RAHARDJA |
| Credential | PH.D. |
| Practice Address |
4570 W 77th St Ste 235 Edina MN 55435 |
| Mailing Address |
4570 W 77th St Ste 235 Edina MN 55435-5092 |
| Practice Telephone | 9522099200 |
| Practice Fax Number | 9522099201 |
| Mailing Telephone | 9522099200 |
| Mailing Fax Number | 9522099201 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP6142 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2720 W 43rd St # 201, Minneapolis, MN 554101643 | 6127679860 |
| Street Address |
4570 W 77TH ST STE 235 |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505803 | Daryn R. Rogers, Phd, Lp, LLC | Clinic/Center | 4570 W 77th St Ste 235, Edina, MN 55435-5092 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548829096 | Larissa Barbaro-kukade | Psychologist | 6550 York Ave S # 620, Edina, MN 55435-2347 | 2019-06-09 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1417328808 | Center for Collaborative Health | Psychologist | 7300 Metro Blvd Ste 695, Edina, MN 55439-2468 | 2015-10-12 |
| 1407127517 | Joyce Popp | Psychologist | 5200 Willson Rd # 450, Edina, MN 55424-1332 | 2012-01-20 |
| 1912112798 | Mark Raderstorf | Psychologist | 7211 Ohms Ln, Edina, MN 55439-2148 | 2007-05-14 |
| 1780668459 | Jane M Kilgriff | Psychologist | 5200 Willson Rd, #309, Edina, MN 55424-1332 | 2005-12-06 |
| 1134596521 | Kristin Turner | Psychologist | 6600 France Ave S, Suite 230, Edina, MN 55435-1805 | 2015-09-01 |
| 1427425313 | Mindful Families | Psychologist | 7400 Metro Blvd Ste 190, Edina, MN 55439-2361 | 2015-08-26 |
| 1033504550 | Brittany Lee Hamann | Psychologist | 6600 France Ave S, Edina, MN 55435-1805 | 2015-04-01 |
| 1962821520 | Mindful Families | Psychologist | 7400 Metro Blvd Ste 190, Edina, MN 55439-2361 | 2014-04-10 |
| Find all providers in EDINA | ||||
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| 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.