DODGE PSYCHOLOGY PRACTICE, LLC (NPI# 1962701755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962701755 |
| Entity Type | Organization |
| Organization Name | DODGE PSYCHOLOGY PRACTICE, LLC |
| Practice Address |
18975 W 115th Ter Olathe KS 66061-6542 |
| Practice Telephone | 9132326861 |
| Mailing Telephone | 9132326861 |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | DR. TIMOTHY D DODGE (OWNER) |
| Authorized Official Telephone | 9132326861 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2002011102 | MO | Behavioral Health & Social Service Providers |
| Street Address |
18975 W 115TH TER |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598926362 | Timothy Dean Dodge | Psychologist | 18975 W 115th Ter, Olathe, KS 66061-6542 | 2008-06-24 |
| 1053556761 | Dr Dodge & Associates | Psychologist | 18975 W 115th Ter, Olathe, KS 66061-6542 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457791584 | Jennifer Sweeton | Psychologist | 513 N Mur Len Rd, Olathe, KS 66062-1318 | 2013-07-03 |
| 1326217621 | Lanise Babb | Psychologist | 13351 S Arapaho Dr, Olathe, KS 66062-1520 | 2008-02-21 |
| 1922291525 | Psychology & Counseling Center | Psychologist | 511 N Mur Len Rd Ste A, Olathe, KS 66062-1208 | 2007-08-27 |
| 1003822982 | Brent Leon Halderman | Psychologist | 513 N Murlen, Olathe, KS 66062 | 2006-07-31 |
| 1871517383 | Todd E Smith | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2006-07-27 |
| 1881238392 | Christina Lynne Menager | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2019-10-29 |
| 1770936619 | Tristen Winston | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2016-07-15 |
| 1437583168 | Danielle M Johnson | Psychologist | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2013-08-29 |
| 1821420001 | Samantha Hoard | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2013-07-30 |
| 1780968206 | Lauren E Albin | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2011-10-03 |
| Find all providers in OLATHE | ||||
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| 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.