Stephanie Ann Dodge, PHD
NPI 1942569629ActiveIndividual· Psychologist· Hilo, HI
Psychologist (PHD) with Kohala Coast Urgent Care LLC, practicing in Hilo, Hawaii. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1942569629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 15, 2012 |
| Last updated in NPPES | Sep 26, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY1318 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (HI) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Kohala Coast Urgent Care LLCKamuela, HI · 3 clinicians
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