CAMILLA ROGERS PH.D. NPI 1174539688

NPI Information

  • NPI: 1174539688
  • Provider Name: CAMILLA ROGERS, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 121 N CENTER ST STE 202
    STATESVILLE, NC
    ZIP 28677
  • Phone: (704) 380-0436

Map and Directions

Get Directions

NPI Details

Camilla Rogers, PH.D. is a clinical psychologist in Statesville, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Camilla Rogers, PH.D. NPI is 1174539688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 N CENTER ST STE 202
STATESVILLE, NC
ZIP 28677-388
Phone: (704) 380-0436
Fax: (866) 950-6464

The NPI 1174539688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/1/2006 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1102L00000XPsychoanalyst3551NORTH CAROLINANo
2103T00000XPsychologist3551NORTH CAROLINANo
3103TA0700XPsychologistAdult Development & Aging3551NORTH CAROLINANo
4103TB0200XPsychologistCognitive & Behavioral3551NORTH CAROLINANo
5103TP0814XPsychologistPsychoanalysis3551NORTH CAROLINANo
6103TP2701XPsychologistGroup Psychotherapy3551NORTH CAROLINANo
7103TC0700XPsychologistClinical3551NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12826089OTHERNORTH CAROLINAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI