Active NPI
Anthony Hodges, LMFT
- Clinical Child & Adolescent Psychologist
- Rancho Cordova, CA
National Provider Identifier
1154157162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 98729
- Practice address
- 3063 Gold Canal Dr
Rancho Cordova, CA 95670-6129 - Phone
- (916) 258-7657
- NPI assigned
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 Child & Adolescent Psychologist | 103TC2200X | 98729 | CA | Primary |
Addresses
Primary practice location
3063 Gold Canal Dr
Rancho Cordova, CA 95670-6129
Mailing address
PO Box 775
Rancho Cordova, CA 95741-0775
Phone (916) 248-6642
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98729 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1154157162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957410775",
"telephone_number": "916-248-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 GOLD CANAL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706129",
"telephone_number": "916-258-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "98729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.