ROBERT P ODGERS (NPI# 1053300350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053300350 |
| Entity Type | Individual |
| Full Name | ROBERT P ODGERS |
| Credential | PHD |
| Practice Address |
1814 8th Ave B Fort Worth TX 76110-1354 |
| Practice Telephone | 8173355565 |
| Practice Fax Number | 8173355787 |
| Mailing Telephone | 8173355565 |
| Mailing Fax Number | 8173355787 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 23209 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1814 8TH AVE B |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496781 | Michael Ray Throneberry | Social Worker | 1814 8th Ave, Fort Worth, TX 76110-1354 | 2017-09-21 |
| 1265810014 | Steffanie Shea Strawbridge | Social Worker | 1814 8th Ave, Suite A, Fort Worth, TX 76110-1354 | 2015-05-13 |
| 1164731162 | Scott Vance Ericson | Counselor | 1814 8th Ave, Suite A, Fort Worth, TX 76110-1354 | 2010-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101433 | Michael Glenn Hightower | Clinical Neuropsychologist | 6 Lucas Ln, Fort Worth, TX 76134-3407 | 2010-04-06 |
| 1891996963 | Christopher Anagnostis | Clinical Neuropsychologist | 6410 Southwest Blvd, Suite 105, Fort Worth, TX 76109 | 2007-05-29 |
| 1386713691 | Burton J Zung | Clinical Neuropsychologist | 5658 Wescreek Dr Ste 400, Ste 400, Fort Worth, TX 76133 | 2006-11-08 |
| 1962589507 | Marsha T Gabriel | Clinical Neuropsychologist | 429 S Ballinger St, Fort Worth, TX 76104-1008 | 2006-11-01 |
| 1164507273 | Beth Colaluca | Clinical Neuropsychologist | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-26 |
| 1508863036 | Clifford Alan Hopewell | Clinical Neuropsychologist | 1015 Pennsylvania Ave, Ste 2, Fort Worth, TX 76104-2259 | 2005-06-30 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1699073114 | Robert Scott Hilborn | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2011-03-08 |
| 1427084193 | Sidney E O'bryant | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-06-24 |
| 1922060078 | Alan Belmore Frol | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-04-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on ROBERT P ODGERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.