Donald G. Dodson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1366 Issued in OR

Practice address

13568 SE 97TH Ave
Suite 204
Clackamas, OR 97015-6670

Phone

(503) 654-1717

Fax

(503) 317-2901

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1952403461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13568 SE 97TH AVE",
            "address_2": "SUITE 204",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156670",
            "telephone_number": "503-654-1717",
            "fax_number": "503-317-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13568 SE 97TH AVE",
            "address_2": "SUITE 204",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156670",
            "telephone_number": "503-654-1717",
            "fax_number": "503-317-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "DONALD",
        "middle_name": "G.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Dinh
• Thao Xuan Dinh, PHARM.D.
• Garry Roger Dion, M.D.
• Ramona P Diprofio, LMT
• Khoa Doan Doan, PHARMD
• Martin T Donohoe, M.D.
• Jean Elizabeth Dougherty, CRNA
• Laura Desiree Dougherty, P.A.
• Kristen Marie Douglass, MD
• Mark William Douglass, LPC

• Psychologist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.