ROGER GRAYSON HODGE PSY.D. LCP
NPI 1306096714
Psychologist in San Diego, CA

Active since September 22, 2008PECOS EnrolledAccepts Medicare Assignment
4025 CAMINO DEL RIO S STE 250, SAN DIEGO, CA 92108(619) 858-3105(619) 280-5420 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2023, Aug 5, 2022 (2 updates tracked since 2022).

About Roger Grayson Hodge Psy.d. Lcp NPPES

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

ROGER GRAYSON HODGE PSY.D. LCP (NPI 1306096714) is an individual psychologist in San Diego, California, licensed in California (26148) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santee, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1306096714
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameROGER GRAYSON HODGECredential: PSY.D. LCP
Location Address4025 CAMINO DEL RIO S STE 250San Diego, CA 92108-4100
Mailing AddressPo Box 2207El Cajon, CA 92021 · (760) 500-1781 · Fax (619) 449-8923
Fax(619) 280-5420
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 22, 2008
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1306096714 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 CA · 26148
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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC44634 (CA)
4025 CAMINO DEL RIO S STE 250, San Diego, CA 92108

Secondary Practice Location 1

Location 19634 Carlton Hills Blvd.Santee, CA 92071 · Phone (760) 500-1781 · Fax (619) 449-8923

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Roger Grayson Hodge Psy.d. Lcp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244585594
PECOS Enrollment IDI20180611000834
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
990 services61 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services20 patients

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Counselor (Professional)
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108
Marriage & Family Therapist
4025 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108

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 Roger Hodge's NPI number?

The NPI number for Roger Hodge is 1306096714. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Roger Hodge located?

Roger Hodge practices at 4025 Camino Del Rio S Ste 250, San Diego, CA 92108. The listed phone number is (619) 858-3105.

What is Roger Hodge's specialty?

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

Is Roger Hodge enrolled in Medicare?

Yes. Roger Hodge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roger Hodge was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.