Individual provider Active NPI

Kristin Keagy Hodgson, PH.D.

  • Health Service Psychologist
  • Charlotte, NC
National Provider Identifier
1851751044
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
3446 Issued in NC
Practice address
8115 Hawk Crest CT
Charlotte, NC 28270-9530
Phone
(919) 619-3939
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 3446 NC Primary

Addresses

Primary practice location

8115 Hawk Crest CT
Charlotte, NC 28270-9530

Mailing address

8115 Hawk Crest CT
Charlotte, NC 28270-9530
Phone (919) 619-3939

Other practice location 1

419 S Sharon Amity Rd Ste D
Charlotte, NC 28211-2856
Phone (704) 272-2316

Other names 1

  • Kristin Ann Keagy Former name

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill-Teacch Autism Program 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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1851751044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 HAWK CREST CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282709530",
            "telephone_number": "919-619-3939",
            "fax_number": "919-619-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 HAWK CREST CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282709530",
            "telephone_number": "919-619-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Sharon Amity Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112856",
            "country_code": "US",
            "telephone_number": "704-272-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "KRISTIN",
        "middle_name": "KEAGY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "3446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KEAGY",
            "middle_name": "ANN",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.