Active NPI
Ralph Dodd, PSY.D
- Clinical Psychologist
- Hartford, CT
National Provider Identifier
1427377241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2642
- Practice address
- 200 Retreat Ave
Hartford Hospital Psych Dept
Hartford, CT 06106-3309 - Phone
- (860) 545-7238
- NPI assigned
- May 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2642 | CT | Primary |
| Psychologist | 103T00000X | 002642 | CT |
Addresses
Primary practice location
200 Retreat Ave
Hartford Hospital Psych Dept
Hartford, CT 06106-3309
Mailing address
200 Retreat Ave
Hartford Hospital Psych Dept
Hartford, CT 06106-3309
Phone (860) 545-7238
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002642 | CT | MD | Mental Health Counselor |
| 2642 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1427377241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RETREAT AVE",
"address_2": "HARTFORD HOSPITAL PSYCH DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063309",
"telephone_number": "860-545-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RETREAT AVE",
"address_2": "HARTFORD HOSPITAL PSYCH DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063309",
"telephone_number": "860-545-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "RALPH",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "2642",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "002642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.