DR. SOPHIA CANDIDA FERREIRA DODGE PH.D., LP, NCSP
NPI 1245844307
Psychologist in Oakland, CA

Active since September 04, 2020PECOS Enrolled
401 GRAND AVE, OAKLAND, CA 94610(510) 394-2240(510) 394-1967 Get Directions Write a Review

NPPES record last updated: April 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2025, Sep 4, 2020 (2 updates tracked since 2020).

About Dr. Sophia Candida Ferreira Dodge Ph.d., Lp, Ncsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOPHIA CANDIDA FERREIRA DODGE PH.D., LP, NCSP (NPI 1245844307) is an individual psychologist in Oakland, California, licensed in Wisconsin (5132-57) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245844307
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SOPHIA CANDIDA FERREIRA DODGECredential: PH.D., LP, NCSP
Location Address401 GRAND AVEOakland, CA 94610-5054
Mailing Address401 Grand AveOakland, CA 94610-5054 · (510) 394-2240 · Fax (510) 394-1967
Fax(510) 394-1967
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 4, 2020
Last NPPES UpdateApril 13, 20252 updates tracked since enumeration
NPPES CertifiedApril 12, 2025
NPI 1245844307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 5132-57
Definition
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.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
401 GRAND AVE, Oakland, CA 94610

Secondary Practice Location 1

Location 14785 Hayes Rd Ste 100Madison, WI 53704-7364 · Phone (608) 242-7160 · Fax (608) 242-7153

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sophia Candida Ferreira Dodge Ph.d., Lp, Ncsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092293886
PECOS Enrollment IDI20260203000418
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
401 GRAND AVE, SUITE 200
OAKLAND, CA 94610
Social Worker
401 GRAND AVE, SUITE 500
OAKLAND, CA 94610
Social Worker
401 GRAND AVE, SUITE 200
OAKLAND, CA 94610
Case Manager/Care Coordinator
401 GRAND AVE, SUITE 500
OAKLAND, CA 94610
Community/Behavioral Health
401 GRAND AVE
OAKLAND, CA 94610
Marriage & Family Therapist
401 GRAND AVE, SUITE 200
OAKLAND, CA 94610
Psychologist (Clinical)
401 GRAND AVE, SUITE 380
OAKLAND, CA 94610
Social Worker (Clinical)
401 GRAND AVE, SUITE 200
OAKLAND, CA 94610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Dodge's NPI number?

The NPI number for Sophia Dodge is 1245844307. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Sophia Dodge located?

Sophia Dodge practices at 401 Grand Ave, Oakland, CA 94610. The listed phone number is (510) 394-2240.

What is Sophia Dodge's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sophia Dodge enrolled in Medicare?

Yes. Sophia Dodge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Dodge was last updated on April 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.