Individual provider Active NPI

Patrisha Louise Hodgman

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1083733141
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 42587 Issued in CA
Practice address
44738 10TH St W
Lancaster, CA 93534-3016
Phone
(661) 400-7295
Fax
(661) 974-7966
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 42587 CA Primary

Addresses

Primary practice location

44738 10TH St W
Lancaster, CA 93534-3016

Mailing address

44738 10TH St W
Lancaster, CA 93534-3016
Phone (661) 400-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904003064 CA Practitioner - Marriage and Family Therapist 1951841006 Practice locations: Lancaster, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Lancaster, CA 93536
Phone 66120936143

47804 91St St W
Lancaster, CA 93536-9322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 42587CAMDMarriage & Family Therapist
42587CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
H&S Practice Management Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1083733141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44738 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343016",
            "telephone_number": "661-400-7295",
            "fax_number": "661-974-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44738 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343016",
            "telephone_number": "661-400-7295",
            "fax_number": "661-974-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGMAN",
        "first_name": "PATRISHA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.