DR. KRISTIN KEAGY HODGSON


Address: 5701 Executive Center Dr, Suite 108, Charlotte, NC 28212-8862
Phone: 7045634103

DR. KRISTIN KEAGY HODGSON (NPI# 1851751044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851751044
Entity Type Individual
Full Name DR. KRISTIN KEAGY HODGSON
Other Name KRISTIN ANN KEAGY
Credential PH.D.
Practice Address 5701 Executive Center Dr
Suite 108
Charlotte
NC 28212-8862
Practice Telephone 7045634103
Practice Fax Number 7045634112
Mailing Telephone 7045634103
Mailing Fax Number 7045634112
Enumeration Date 2016-03-01
Last Update Date 2016-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
3446 NC Behavioral Health & Social Service Providers

Other Providers KRISTIN HODGSON

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1669786984 Kristin S Hodgson Dentist 3200 Old Jennings Rd, Middleburg, FL 32068-3414 2010-07-28
1215073044 Kristin L Hodgson Physical Therapist 1151 N Rock Rd, Wichita, KS 67206-1262 2007-01-29

Office Location

Street Address 5701 EXECUTIVE CENTER DR
SUITE 108
City CHARLOTTE
State NC
Zip Code 28212-8862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922266410 Joyce Lum Psychologist 5701 Executive Center Dr, Suite #108, Charlotte, NC 28212-8862 2008-05-30
1467904052 Jennifer Mathys Social Worker 5701 Executive Center Dr, 108, Charlotte, NC 28212-8862 2016-10-29
1134584626 One Love Community Program Inc. Counselor 5701 Executive Center Dr, Suite 350, Charlotte, NC 28212-8862 2015-12-28
1932549482 University of North Carolina At Chapel Hill-teacch Autism Program Day Training, Developmentally Disabled Services 5701 Executive Center Dr, Suite 108, Charlotte, NC 28212-8862 2013-06-28
1508175142 Sarah Elizabeth Smead Psychologist 5701 Executive Center Dr, Suite 108, Charlotte, NC 28212-8862 2010-09-30
1518275593 Kasey J. Wilson Counselor 5701 Executive Center Dr, Suite 100, Charlotte, NC 28212-8862 2010-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371250 Amy Sierra Conner Counselor 5700 Executive Drive Suite 110, Charlotte, NC 28212 2019-11-25
1700447307 Nagarani Nagarajan Dds.,pllc Clinic/Center 2510 Vista Drive, Suite 100, Charlotte, NC 28212 2019-06-25
1700441011 Khadija Brown Counselor 6601 English Hills Dr, Charlotte, NC 28212 2019-05-02
1245711514 Savannah Huneycutt Dentist 6708 Albemarle Road, Charlotte, NC 28212 2018-08-24
1417435710 Porcelain Dolls of The Carolinas, Inc Clinic/Center 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 2018-07-30
1447701511 Christine Walker Physical Therapy, LLC Clinic/Center 8850 Monroe Rd, Charlotte, NC 28212 2016-10-24
1013376128 Colby Edward Joyner Physician Assistant 7005 Wallace Rd Ste 600, Charlotte, NC 28212 2016-02-17
1760814412 Nguyen Tri Nguyen, Dds, Pa Dentist 6404 Albemarle Road, #c, Charlotte, NC 28212 2013-08-05
1477806834 Tara Thompson Counselor 6900 Democracy Dr., Charlotte, NC 28212 2012-10-23
1568711109 Mary Dianne Branch Counselor 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 2012-08-29
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124670500 Jenny Renville Psychologist 4600 Colony Rd Apt D, Charlotte, NC 28226-4833 2019-07-15
1942862552 Edh1 LLC Psychologist 9027 Tibble Creek Way, Charlotte, NC 28227-6670 2019-07-03
1053755934 Alisaha's Home Center Psychologist 8221 Ainsworth St, Charlotte, NC 28216-3693 2013-04-23
1346484284 Visionone Health Services, Inc. Psychologist 6047 Tyvola Glen Cir Ste 241, Charlotte, NC 28217-6436 2009-04-22
1790919025 Paul Allen Holland Psychologist 9700 Research Dr, Suite 143, Charlotte, NC 28262-8552 2009-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063047793 Carolinas Center for Evaluation and Treatment Psychologist 18151 W Catawba Ave Unit 15, Cornelius, NC 28031-5641 2020-03-03
1407495617 John Leonard Ellis Psychologist 4439 Walnut Ridge Rd, Lenoir, NC 28645-3989 2020-01-06
1316446529 Tiffany C. L. Bowden Psychologist 7341 Windy Ct W, Bailey, NC 27807 2018-02-03
1669983391 Vickie Barnes Psychologist 110 Cameron Dr Apt 202, Elizabeth City, NC 27909-8914 2017-10-20
1194132878 Stephen C Messer Psychologist 302 Copperline Dr Apt D, Chapel Hill, NC 27516-0416 2014-07-15
1356757918 Reid Whiteside, Ph.d., P.C. Psychologist 1616 Evans Rd Ste 202, Cary, NC 27513 2014-07-03
1982914560 Alison Stacy Draper Psychologist 278 W Millbrook Rd, Raleigh, NC 27609 2010-10-15
1578879169 Child's Play Therapy Center, Inc Psychologist 3401-b Village Drive, Fayetteville, NC 28304-7583 2010-08-20
1871721084 Lillian G. Harris Psychologist 2007 Yanceyville St # 66, Suite 209, Greensboro, NC 27405-5000 2009-06-25
1841436649 M & L Behavioral Services Inc. Psychologist 215 Boone Heights Dr., Suite 205, Boone, NC 28607 2008-12-29
Find all providers with the same taxonomy

Competitor

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City CHARLOTTE
Zip Code 28212

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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