Active NPI
James M. Dodson, PSYD
- Psychologist
- Clarksville, TN
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1942
- Practice address
- 298 Warfield Blvd
Suite B
Clarksville, TN 37043-1828 - Phone
- (931) 494-7131
- Fax
- (931) 548-1776
- NPI assigned
- Jan 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1942 | TN | |
| Psychologist | 103T00000X | 1942 | TN | Primary |
Addresses
Primary practice location
298 Warfield Blvd
Suite B
Clarksville, TN 37043-1828
Mailing address
775 Weatherly Dr
Ste F
Clarksville, TN 37043-8915
Phone (931) 494-7131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1519218 | Medicaid | TN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1942 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena Consulting and Psychological Services, PLLC | Clinical | Current | Accepting new patients |
| Tennessee TMS Center, PLLC | Past | Accepting new patients |
Locations
775 Weatherly Dr
Ste F
Clarksville, TN 37043
Phone (877) 641-1155
1720 West End Ave
Ste 240
Nashville, TN 37203
Phone (615) 861-1000
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.
-
- Clinical Psychologist
- Nashville, TN
- NPI 1336292465
-
- Psychiatry Physician
- Nashville, TN
- NPI 1649637133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1508923129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 WEATHERLY DR",
"address_2": "STE F",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438915",
"telephone_number": "931-494-7131",
"fax_number": "931-548-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 WARFIELD BLVD",
"address_2": "SUITE B",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370431828",
"telephone_number": "931-494-7131",
"fax_number": "931-548-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "JAMES",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "1942",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "1942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1519218",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.