Maryellen Leann Dodd, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24368 Issued in OK

Practice address

6406 N Santa Fe Ave Ste a
Oklahoma City, OK 73116-9117

Phone

(405) 840-3793

Fax

(405) 840-3794

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdodd834@yourcarecommunity.org

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.

• Psychiatric Associates Inc

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1205893674
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Hennepin County

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1831176916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 N SANTA FE AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169117",
            "telephone_number": "405-840-3793",
            "fax_number": "405-840-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 N SANTA FE AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169117",
            "telephone_number": "405-840-3793",
            "fax_number": "405-840-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "MARYELLEN",
        "middle_name": "LEANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200081020A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054978900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctors @ Home, Inc
• Catherine Ann Dodd, LPC
• Cathryn Leann Dodd
• Karen Dodd, L.C.S.W.
• Kathryn Marie Dodd
• Stacha Dodd
• Amanda Dodge
• Sarah Dodge
• Stephanie Ann Dodge, M.S., LPC U/S
• Jacob Thomas Dodgen

• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.