Active NPI
Tiffany a Hodges PSYD LLC
- Clinical Psychologist
- Cartersville, GA
National Provider Identifier
1861624918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3258
- Legal business name
- TIFFANY A HODGES PSYD LLC
- Practice address
- 807 N Tennessee St
Suite 102
Cartersville, GA 30120-2895 - Phone
- (770) 387-9845
- Fax
- (770) 387-9863
- NPI assigned
- Aug 21, 2009
- Last updated
- Aug 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tiffany Anne Hodges, PSY.D
- Title
- Psychologist
- Phone
- (770) 387-9845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3258 | GA | Primary |
Addresses
Primary practice location
807 N Tennessee St
Suite 102
Cartersville, GA 30120-2895
Mailing address
807 N Tennessee St
Suite 102
Cartersville, GA 30120-2895
Phone (770) 387-9845
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250812800000",
"number": "1861624918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 N TENNESSEE ST",
"address_2": "SUITE 102",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202895",
"telephone_number": "770-387-9845",
"fax_number": "770-387-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N TENNESSEE ST",
"address_2": "SUITE 102",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202895",
"telephone_number": "770-387-9845",
"fax_number": "770-387-9863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFFANY A HODGES PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-21",
"last_updated": "2009-08-21",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "770-387-9845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "3258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.