Active NPI
Alexander F Roding, PSY.D.
- Clinical Psychologist
- Fort Drum, NY
National Provider Identifier
1235938853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008567
- Practice address
- 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603 - Phone
- (267) 400-2769
- NPI assigned
- Mar 8, 2025
- 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 Psychologist | 103TC0700X | 0810008567 | VA | Primary |
Addresses
Primary practice location
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Mailing address
721 Brentwinds LN Apt 102
Spring Lake, NC 28390-2188
Phone (267) 400-2769
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 |
|---|---|---|---|
| 0810008567 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1235938853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 BRENTWINDS LN APT 102",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283902188",
"telephone_number": "267-400-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 MT BELVEDERE BLVD",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136022603",
"telephone_number": "267-400-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODING",
"first_name": "ALEXANDER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-08",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.