DR. JONATHAN NOEL DODD PSY.D
NPI 1447501069
Clinical Neuropsychologist in Marietta, GA

Q: What is Jonathan Dodd's NPI number?

The NPI number for Jonathan Dodd is 1447501069. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Q: What is Jonathan Dodd's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Dodd was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since September 21, 2012PECOS Enrolled

55 WHITCHER ST NE STE 420, MARIETTA, GA 30060(770) 514-6760 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jonathan Noel Dodd Psy.d NPPES

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

DR. JONATHAN NOEL DODD PSY.D (NPI 1447501069) is an individual clinical neuropsychologist in Marietta, Georgia, licensed in Missouri (2012032669) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1447501069

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JONATHAN NOEL DODDCredential: PSY.D

Location Address55 WHITCHER ST NE STE 420Marietta, GA 30060

Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340

Phone(770) 514-6760

Sole ProprietorYes

Enumeration DateSeptember 21, 2012

Last NPPES UpdateOctober 31, 2019

✔ NPI 1447501069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MO · 2012032669

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

55 WHITCHER ST NE STE 420, Marietta, GA 30060

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Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-6069 · Fax (314) 454-4013

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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. Jonathan Noel Dodd Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

MICHELLE THERESA JESSE PH.D.

Psychologist (Clinical)