STEPHANIE ANN DODGE (NPI# 1942569629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942569629 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN DODGE |
| Credential | PHD |
| Practice Address |
56 Waianuenue Avenue Hilo HI 96720 |
| Mailing Address |
Po Box 11339 Hilo HI 96721 |
| Practice Telephone | 8087473445 |
| Mailing Telephone | 8087473445 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY1318 | HI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| I DON'T HAVE ANOTHER IDENTIFICATION NUMBER | 000000000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104038 | Stephanie Dodge | Case Manager/Care Coordinator | 4025 W 226th St, Torrance, CA 90505-2340 | 2020-02-03 |
| 1114432556 | Stephanie Dodge | Pharmacist | 4000 S 70th St, Lincoln, NE 68506-4658 | 2017-12-07 |
| Street Address |
56 WAIANUENUE AVENUE |
| City | HILO |
| State | HI |
| Zip Code | 96720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164651790 | Christian Kimo Alameda | Psychologist | 561 Puloku St, Hilo, HI 96720-6048 | 2009-07-02 |
| 1881736882 | Jacqueline G Brittain | Psychologist | 1923 Kalanianaole Ave, Hilo, HI 96720-4919 | 2007-02-13 |
| 1043386840 | Kona Therapy Associates Inc. | Psychologist | 101 Aupuni St., Ste #118, Hilo, HI 96720-4260 | 2006-11-27 |
| 1942241229 | Consultinc | Psychologist | 101 Aupuni St. # 314, Hilo, HI 96720 | 2006-06-09 |
| 1992743108 | Sandra Akiko Takamine | Psychologist | 101 Aupuni St, Suite 118, Hilo, HI 96720-4246 | 2006-06-02 |
| 1013918291 | Naomi Takemoto-chock | Psychologist | 1978 Komohana St, Hilo, HI 96720-5941 | 2005-08-10 |
| 1609245513 | Joseph Gomez | Psychologist | 234 Waianuenue Ave Ste 215, Hilo, HI 96720-2418 | 2015-09-21 |
| 1841591112 | Maryruth Eaves-herrera | Psychologist | 101 Aupuni St, Ste 313, Hilo, HI 96720-4262 | 2010-11-03 |
| 1760656664 | Bernard A Jarman | Psychologist | 111 E Puainako St, #585, Hilo, HI 96720-5288 | 2008-04-22 |
| 1649449661 | Bruce A. Hansen | Psychologist | 101 Aupuni St, Ste. 118, Hilo, HI 96720-4246 | 2008-02-23 |
| Find all providers in HILO | ||||
Please comment or provide details below to improve the information on STEPHANIE ANN DODGE.
| 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.