Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Emerson Rogers, PSYD

Individual provider Clinical Psychologist · NPI 1215099163

Dr. Kenneth Emerson Rogers, PSYD is a Clinical Psychologist in Elk Grove, California. Qualified in 2003, 23 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

9324 W Stockton Blvd
Elk Grove, CA 95758-8012
Phone: (916) 478-7716
Fax: (916) 478-7760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20122 (CA)

Record details

NPI number1215099163
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJanuary 3, 2022
Certification dateFebruary 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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