Active NPI
Carrie Lynn Dodrill, PH.D.
- Psychologist
- Alamo Heights, TX
National Provider Identifier
1629218391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33982
- Practice address
- 4940 Broadway Ste 311
Alamo Heights, TX 78209-5744 - Phone
- (832) 753-4246
- NPI assigned
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33982 | TX | Primary |
Addresses
Primary practice location
4940 Broadway Ste 311
Alamo Heights, TX 78209-5744
Mailing address
4940 Broadway Ste 311
Alamo Heights, TX 78209-5744
Phone (328) 753-4246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 29, 2023 through Nov 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33982 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1629218391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 BROADWAY STE 311",
"city": "ALAMO HEIGHTS",
"state": "TX",
"postal_code": "782095744",
"telephone_number": "328-753-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 BROADWAY STE 311",
"city": "ALAMO HEIGHTS",
"state": "TX",
"postal_code": "782095744",
"telephone_number": "832-753-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODRILL",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "33982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamo Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.