DR. KELLY ROGALSKI M.D.
NPI 1033328356
Psychiatry & Neurology - Child & Adolescent Psychiatry in Plymouth, MI

Q: What is Kelly Rogalski's NPI number?

The NPI number for Kelly Rogalski is 1033328356. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Kelly Rogalski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Kelly Rogalski enrolled in Medicare?

No. Kelly Rogalski has opted out of Medicare through January 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelly Rogalski was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2007Opted out of Medicare · through Jan 30, 2027

322 S HARVEY ST, PLYMOUTH, MI 48170(248) 756-0351(833) 603-0133 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Nov 29, 2018, Apr 25, 2018 (3 updates tracked since 2018).

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About Dr. Kelly Rogalski M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY ROGALSKI M.D. (NPI 1033328356) is an individual child & adolescent psychiatry provider in Plymouth, Michigan, licensed in Michigan (4301086191) and active in the NPI registry since May 2007. She has opted out of Medicare through January 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033328356

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. KELLY ROGALSKICredential: M.D.

Location Address322 S HARVEY STPlymouth, MI 48170-1693

Mailing Address322 S Harvey StPlymouth, MI 48170-1693 · (248) 756-0351 · Fax (833) 603-0133

Phone(248) 756-0351

Fax(833) 603-0133

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1033328356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MI · 4301086191

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301086191 (MI)

322 S HARVEY ST, Plymouth, MI 48170

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Rogalski M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2019 through January 30, 2027.

Opt-Out Effective DateJanuary 30, 2019

Opt-Out In Effect ThroughJanuary 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA HENDRIKS MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

322 S HARVEY ST
PLYMOUTH, MI 48170

Wayne County (248) 662-5511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Rogalski's NPI number?

The NPI number for Kelly Rogalski is 1033328356. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Kelly Rogalski located?

Kelly Rogalski practices at 322 S Harvey St, Plymouth, MI 48170. The listed phone number is (248) 756-0351.

What is Kelly Rogalski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kelly Rogalski enrolled in Medicare?

No. Kelly Rogalski has opted out of Medicare through January 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Rogalski was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.