NPIMap

Organization Active NPI

Carole J Rodon, PHD, PC

  • Psychologist
  • Columbia, MO
National Provider Identifier
1184878563
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01536 Issued in MO
Legal business name
CAROLE J RODON, PHD, PC
Practice address
2501B W Ash St
Columbia, MO 65203-4609
Phone
(573) 442-4161
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Dr. Carole J Rodon, PHDNPI 1689786188
Title
Psychologist
Phone
(573) 442-4161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01536 MO Primary

Addresses

Primary practice location

2501B W Ash St
Columbia, MO 65203-4609

Mailing address

2501B W Ash St
Columbia, MO 65203-4609
Phone (573) 442-4161

Other identifiers 4

IdentifierTypeStateIssuer
074664OtherMOVALUE OPTIONS
1088760OtherMOFIRST HEALTH
109489OtherMOANTHEM BLUE CROSS BLUE SHIELD
61-43032OtherMOUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1184878563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501B W ASH ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034609",
            "telephone_number": "573-442-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501B W ASH ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034609",
            "telephone_number": "573-442-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE J RODON, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "RODON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "573-442-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "074664",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1088760",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "109489",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "61-43032",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.