Active NPI
Rayshone Hodges, PSY.D.
- Psychologist
- Upper Marlboro, MD
National Provider Identifier
1770899692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 15504 Newtonmore LN
Upper Marlboro, MD 20774-8855 - Phone
- (202) 421-7295
- Fax
- (301) 358-2124
- NPI assigned
- Aug 30, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
15504 Newtonmore LN
Upper Marlboro, MD 20774-8855
Mailing address
15504 Newtonmore LN
Upper Marlboro, MD 20774-8855
Phone (202) 421-7295
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1770899692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15504 NEWTONMORE LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748855",
"telephone_number": "202-421-7295",
"fax_number": "301-358-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15504 NEWTONMORE LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748855",
"telephone_number": "202-421-7295",
"fax_number": "301-358-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "RAYSHONE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.