Dr Dodge & Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1256 Issued in KS

Legal business name

DR DODGE & ASSOCIATES

Practice address

18975 W 115TH Ter
Olathe, KS 66061-6542

Phone

(913) 232-6861

NPI assigned

Dec 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy D Dodge, PH.D.

Title

Owner

Phone

(913) 232-6861

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig A Erisman, PSY.D.

  • Clinical Psychologist
  • Lees Summit, MO
  • NPI 1154449676
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1053556761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18975 W 115TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616542",
            "telephone_number": "913-232-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18975 W 115TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616542",
            "telephone_number": "913-232-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DODGE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-232-6861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristalle J. Dougherty, LMSW
• Douglas J. Sjogren, D.D.S., P.a.
• Kyla Douglas, LMSW
• Tammie Renee Dowling, LMSW
• Hailey Doyle
• Dr Paul Brinckman OD LLC
• Dr. Thomas Lovinggood DDS Ms
• Jacinda A Draisey, PT, DPT
• Howard George Drake III, LPC
• Dreamzz 2 Reality

• Clinical Psychologist in Olathe, KS
• Providers in Olathe, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.