DR. GORDON R DODGE PHD
NPI 1902026131
Psychologist in Center City, MN

Active since April 30, 2007
204 SUMMIT AVE, CENTER CITY, MN 55012(651) 303-2355(651) 464-5744 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gordon R Dodge Phd NPPES

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

DR. GORDON R DODGE PHD (NPI 1902026131) is an individual psychologist in Center City, Minnesota, licensed in Minnesota (LP1221) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1902026131
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GORDON R DODGECredential: PHD
Location Address204 SUMMIT AVECenter City, MN 55012
Mailing AddressPo Box 485Center City, MN 55012 · (651) 303-2355 · Fax (651) 464-5744
Fax(651) 464-5744
Sole ProprietorNo
Enumeration DateApril 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902026131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP1221
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.
204 SUMMIT AVE, Center City, MN 55012

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 Gordon Dodge's NPI number?

The NPI number for Gordon Dodge is 1902026131. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Gordon Dodge located?

Gordon Dodge practices at 204 Summit Ave, Center City, MN 55012. The listed phone number is (651) 303-2355.

What is Gordon Dodge's specialty?

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

When was this NPI record last updated?

The NPPES record for Gordon Dodge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.