Active NPI
Amy Dodds, PH.D.
- Clinical Psychologist
- Mt Pleasant, SC
National Provider Identifier
1033355078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 683
- Practice address
- 886 Johnnie Dodds Blvd
Suite 202
Mt Pleasant, SC 29464-3190 - Phone
- (843) 881-6511
- Fax
- (843) 416-1153
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 683 | SC | Primary |
Addresses
Primary practice location
886 Johnnie Dodds Blvd
Suite 202
Mt Pleasant, SC 29464-3190
Mailing address
886 Johnnie Dodds Blvd
Suite 202
Mt Pleasant, SC 29464-3190
Phone (843) 881-6511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 683 | SC | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1033355078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 JOHNNIE DODDS BLVD",
"address_2": "SUITE 202",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643190",
"telephone_number": "843-881-6511",
"fax_number": "843-416-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 JOHNNIE DODDS BLVD",
"address_2": "SUITE 202",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643190",
"telephone_number": "843-881-6511",
"fax_number": "843-416-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODDS",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.