Individual provider Active NPI

Patricia S Hodgdon, PHD

  • School Psychologist
  • Brattleboro, VT
National Provider Identifier
1932336138
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
DRFLBTR Issued in VA
Practice address
209 Austine Dr
Business Office
Brattleboro, VT 05301-6634
Phone
(802) 258-9500
Fax
(802) 258-9574
NPI assigned
Jun 15, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X DRFLBTR VA Primary

Addresses

Primary practice location

209 Austine Dr
Business Office
Brattleboro, VT 05301-6634

Mailing address

209 Austine Dr
Business Office
Brattleboro, VT 05301-6634
Phone (802) 258-9500

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DRFLBTRVAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1932336138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AUSTINE DR",
            "address_2": "BUSINESS OFFICE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016634",
            "telephone_number": "802-258-9500",
            "fax_number": "802-258-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AUSTINE DR",
            "address_2": "BUSINESS OFFICE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016634",
            "telephone_number": "802-258-9500",
            "fax_number": "802-258-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGDON",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "DRFLBTR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.