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DOMINIQUE C HODGES PT
NPI 1831856111
Licensed Psychiatric Technician in Fairfield, CA

Active since November 22, 2021
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 428-1131 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique C Hodges Pt NPPES

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

DOMINIQUE C HODGES PT (NPI 1831856111) is an individual licensed psychiatric technician in Fairfield, California, licensed in California (40513) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1831856111
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameDOMINIQUE C HODGESCredential: PT
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 428-1131
Phone(707) 428-1131
Sole ProprietorNo
Enumeration DateNovember 22, 2021
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1831856111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 40513
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
2101 COURAGE DR, Fairfield, CA 94533
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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.

MS. JENNIFER RUTH PETTIBONE RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533
Solano County (707) 784-2154
MALISSA BLAIR RN
Registered Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 750-3000
ALISON LEGLER-HAUCK RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 639-4675
STEVEN MICHAEL ROCHA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (530) 902-6636
CHELSEA M KENNEDY
Adult Companion
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2057
ROSANNA POLANCO-FIERRO ASW
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-3011
CRISSADHEL DUPA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 428-1131
CYNDI CAROL SMIT LMFT
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2224

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 Dominique Hodges's NPI number?

The NPI number for Dominique Hodges is 1831856111. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Dominique Hodges located?

Dominique Hodges practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 428-1131.

What is Dominique Hodges's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Dominique Hodges was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.