Rogers, Brooke Genkin

Rogers, Brooke Genkin is an sole proprietor health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rogers, Brooke Genkin can be contacted via phone (617) 414-5245.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Boston MA 02118-2908
Phone: (617) 414-5245
Fax: (617) 414-5520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10000117 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS01934 Rhode Island
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS01934 Rhode Island
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01934 Rhode Island
Behavioral Health & Social Service Providers / Health 103TH0004X PS01934 Rhode Island

Profile Details

NPI number 1952070377
LBN Legal business name Rogers, Brooke Genkin
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2021
Last updated Dec 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952070377 NPPES
Massachusetts MEDICAID 110202793A

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