STEPHANIE ANN DODGE PHD
NPI 1942569629
Psychologist in Hilo, HI

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment
688 KINOOLE ST, HILO, HI 96720(808) 747-3445(808) 443-5196 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Ann Dodge Phd NPPES

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

STEPHANIE ANN DODGE PHD (NPI 1942569629) is an individual psychologist in Hilo, Hawaii, licensed in Hawaii (PSY1318) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Honom, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942569629
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHANIE ANN DODGECredential: PHD
Location Address688 KINOOLE STHilo, HI 96720-3877
Mailing AddressPo Box 11339Hilo, HI 96721 · (808) 747-3445
Fax(808) 443-5196
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 15, 2012
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 24, 2024
NPI 1942569629 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 HI · PSY1318
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.

688 KINOOLE ST, Hilo, HI 96720

Secondary Practice Location 1

Location 128-255 Stable Camp RdHonom, HI 96728 · Phone (808) 747-3445 · Fax (808) 443-5196

Other Identifiers 1

Other000000000000I Don't Have Another Identification Number

Accepted Insurance

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

Stephanie Ann Dodge Phd 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 ID5092979666
PECOS Enrollment IDI20120611000509
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
211 services12 patients

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
688 KINOOLE ST, STE 119B
HILO, HI 96720
Pharmacist (Geriatric)
688 KINOOLE ST, STE 109
HILO, HI 96720
Counselor
688 KINOOLE ST, SUITE 120
HILO, HI 96720
Case Manager/Care Coordinator
688 KINOOLE ST, SUITE 120
HILO, HI 96720
Radiology (Diagnostic Radiology)
688 KINOOLE ST, SUITE 103
HILO, HI 96720
Social Worker (Clinical)
688 KINOOLE ST, STE 219
HILO, HI 96720
Psychologist (Clinical)
688 KINOOLE ST, SUITE # 206
HILO, HI 96720
Pharmacy (Long Term Care Pharmacy)
688 KINOOLE ST, UNIT 109
HILO, HI 96720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942569629, enumerated as an "individual" on May 15, 2012.

The provider is located at 688 KINOOLE ST HILO, HI 96720 and the phone number is (808) 747-3445.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: HMSA, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.