CYNTHIA A DODGE (NPI# 1689746653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689746653 |
Entity Type | Individual |
Full Name | CYNTHIA A DODGE |
Credential | PHD |
Practice Address |
Ste 204 6560 Rte 179 Sedona AZ 86351 |
Mailing Address |
30 Colinas Sedona AZ 86351-9238 |
Practice Telephone | 9288638431 |
Mailing Telephone | 9288538269 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LC4083 | ME | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 194420299 | 05 | |
ME | ANTHEM | RB9 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376817577 | Cynthia Sue Dodge | Psychologist | 2579 Thatcher Ave, Henderson, NV 89052-6916 | 2012-03-06 |
1215477815 | Cynthia Dodge | Counselor | 491 Main St, Athol, MA 01331-1846 | 2017-03-01 |
1508896580 | Cynthia E Dodge | Psychologist | 2 Bethesda Dr, Suite # 4, Hornell, NY 14843-1018 | 2006-07-04 |
Street Address |
STE 204 6560 RTE 179 |
City | SEDONA |
State | AZ |
Zip Code | 86351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144645391 | Southwestern Eye Center Ltd | Optometrist | 100 Verde Valley Road, Ste 114, Sedona, AZ 86351 | 2014-02-25 |
1033303185 | Julie A Leader | Nurse Practitioner | 275 Verde Valley School Rd, Sedona, AZ 86351 | 2007-08-31 |
1659593580 | Robert R Easton | Counselor | 6560 Rt. 179, Suite 204, Sedona, AZ 86351 | 2007-05-02 |
1851445746 | William Howard Johnson | Psychologist | 380 Oak Creek Drive, Sedona, AZ 86351 | 2007-01-22 |
1316020480 | Natalie H Rockwell | Nurse Practitioner | 6446 State Route 179, Suite 207b, Sedona, AZ 86351 | 2006-10-23 |
1457381295 | Rta Hospice, LLC | Hospice, Inpatient | 70 Bell Rock Plaza, Sedona, AZ 86351 | 2006-07-04 |
1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
1285997452 | Susan Kay Ramirez | Occupational Therapist | 505 Jacks Canyon Rd, Sedona, AZ 86351 | 2012-06-21 |
1114033107 | Sedona Grocery, LLC | Pharmacy | 100 Verde Valley School Rd, Sedona, AZ 86351 | 2006-08-22 |
1578050746 | Circle of Life Alzheimer's Homes | Assisted Living Facility | 778 Crown Ridge Rd, Sedona, AZ 86351-6304 | 2018-04-13 |
Find all providers in zip 86351 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
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1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
1972029205 | Prism Learning and Development, Pllc | Psychologist | 7157 E Rancho Vista Dr Ste 7147b24, Scottsdale, AZ 85251-1494 | 2017-08-18 |
1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
1811360316 | Redemption Psychiatry LLC | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2015-11-05 |
1447582937 | Shefali Gandhi, Psy.d., P.l.l.c. | Psychologist | 7120 E 6th Ave, Suite 20, Scottsdale, AZ 85251-3228 | 2010-02-08 |
1306077979 | Sue R Lerner | Psychologist | 6773 E Gelding Dr, Scottsdale, AZ 85254-3494 | 2009-07-30 |
1417137274 | Cathy Lynn Bissett | Psychologist | 24654 N Lake Pleasant Pkwy Ste 103-497, Peoria, AZ 85383-1359 | 2007-11-09 |
1982890588 | Erin Keely Lanphier | Psychologist | 21807 N Scottsdale Rd, Scottsdale, AZ 85255-7439 | 2007-09-18 |
1396966453 | Larry L. Grimm | Psychologist | 222 S. Summit Ave., Ste. 1, Prescott, AZ 86303-3780 | 2007-05-02 |
1801919840 | Tyra Maria Ripley | Psychologist | 3120 W Cholla St, Phoenix, AZ 85029-4113 | 2007-04-06 |
Find all providers with the same taxonomy |
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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.