Active NPI
Thomas W Vodde, PH.D.
- Psychologist
- Fort Wayne, IN
National Provider Identifier
1184715849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20010166A
- Practice address
- 7879 Harrisburg LN
Fort Wayne, IN 46835-1226 - Phone
- (260) 485-6362
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20010166A | IN | Primary |
Addresses
Primary practice location
7879 Harrisburg LN
Fort Wayne, IN 46835-1226
Mailing address
7879 Harrisburg LN
Fort Wayne, IN 46835-1226
Phone (260) 485-6362
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 |
|---|---|---|---|
| 20010166A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184715849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7879 HARRISBURG LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468351226",
"telephone_number": "260-485-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7879 HARRISBURG LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468351226",
"telephone_number": "260-485-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VODDE",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20010166A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.