Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Rodgers, CRNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407678352

Kathleen Rodgers, CRNP, PMHNP-BC is a Nurse Practitioner in Hackensack, New Jersey. Qualified in 2024, 2 years ago. Practices with Rivia Medical PLLC, a 67-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
2
Licensed in
NJ, PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2 University Plz Ste 100
Hackensack, NJ 07601-6210
Phone: (212) 203-1773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15245800 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP031004 (PA)

Record details

NPI number1407678352
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rivia Medical Pllc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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