Organization Active NPI

Tiffany a Hodges PSYD LLC

  • Clinical Psychologist
  • Cartersville, GA
National Provider Identifier
1861624918
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3258 Issued in GA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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": []
}

Other providers in Cartersville, GA

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.

Verify at the official NPI Registry.