Sandra Rodgin, Ph.D.
Clinical Neuropsychologist in West Hollywood, CA. Individual provider (NPI-1).
NPI number1982256814
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1982256814
- Entity type
- Individual (NPI-1)
- Name
- Sandra Rodgin
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2019
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY32768 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8700 Beverly BlvdWest Hollywood, CA 90048-1804
Phone 310-423-9722 · Fax 310-248-8710
Mailing address
4140 W 190th StTorrance, CA 90504-5513
Other practice locations
1750 E Fairmount Ave
Baltimore, MD 21231-1534
Baltimore, MD 21231-1534
Phone 408-605-7269
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Neuropsychologist providers in West Hollywood, CA
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- Martin Jerold Stern, PH.D.NPI 1427112671
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- Andrew L. Wong, PH.D.NPI 1396063053
All 9 Clinical Neuropsychologist providers in West Hollywood · All 3,118 providers in West Hollywood
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