Individual provider Active NPI

Carmen Lynn Hodges, PSYD, LCADC

  • Clinical Psychologist
  • Hamilton, NJ
National Provider Identifier
1275967762
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00496000 Issued in NJ
Practice address
426 Santa Fe CT
Hamilton, NJ 08619-2073
Phone
(609) 638-7560
Fax
(609) 581-4762
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00496000 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00069000 NJ

Addresses

Primary practice location

426 Santa Fe CT
Hamilton, NJ 08619-2073

Mailing address

426 Santa Fe CT
Hamilton, NJ 08619-2073
Phone (609) 638-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150212000770 NJ Practitioner - Clinical Psychologist 4789909862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hamilton, NJ 08619
Phone (609) 638-7560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00069000NJMDAddiction (Substance Use Disorder) Counselor
35SI00496000NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Psychological Services, LLC Addiction (Substance Use Disorder) CurrentSince May 12, 2020 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Feb 1, 2020 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

Organizations & group practices 2

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1275967762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SANTA FE CT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192073",
            "telephone_number": "609-638-7560",
            "fax_number": "609-581-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SANTA FE CT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192073",
            "telephone_number": "609-638-7560",
            "fax_number": "609-581-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "CARMEN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00496000",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00069000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.