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DR. ROGER KENNETH LIGHT PH.D.
NPI 1992924047
Clinical Neuropsychologist in Manhattan Beach, CA

Active since April 25, 2007Opted out of Medicare · through Feb 24, 2028
509 N SEPULVEDA BLVD, SUITE 204, MANHATTAN BEACH, CA 90266(310) 374-1221(310) 214-0648 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger Kenneth Light Ph.d. NPPES

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

DR. ROGER KENNETH LIGHT PH.D. (NPI 1992924047) is an individual clinical neuropsychologist in Manhattan Beach, California, licensed in California (PSY9830) and active in the NPI registry since April 2007. He has opted out of Medicare through February 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992924047
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. ROGER KENNETH LIGHTCredential: PH.D.
Location Address509 N SEPULVEDA BLVD, SUITE 204Manhattan Beach, CA 90266-6746
Mailing Address509 N Sepulveda Blvd, Suite 204Manhattan Beach, CA 90266-6746 · (310) 374-1221 · Fax (310) 214-0648
Phone(310) 374-1221
Fax(310) 214-0648
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992924047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in CA · PSY9830✔ Licensed in HI · PSY819
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
509 N SEPULVEDA BLVD, Manhattan Beach, CA 90266
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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. Roger Kenneth Light Ph.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 February 24, 2022 through February 24, 2028.

Opt-Out Effective DateFebruary 24, 2022
Opt-Out In Effect ThroughFebruary 24, 2028Opt-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 3

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

MS. MARGO DOXAKIS STEIN MFT PSYCOTHERAPIST
Psychologist
509 N SEPULVEDA BLVD, SUITE 201
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 379-4700
SOUTH BAY TMS THERAPY CENTER
Counselor (Mental Health)
509 N SEPULVEDA BLVD, SUITE 202
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 318-2566
DR. LORI ZAREMSKI, PHD
Psychologist
509 N SEPULVEDA BLVD, #204
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 374-1221

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 Roger Light's NPI number?

The NPI number for Roger Light is 1992924047. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Roger Light located?

Roger Light practices at 509 N Sepulveda Blvd Suite 204, Manhattan Beach, CA 90266. The listed phone number is (310) 374-1221.

What is Roger Light's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Roger Light enrolled in Medicare?

No. Roger Light has opted out of Medicare through February 24, 2028. 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 Roger Light was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.