Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942569629 Individual Practitioner Female Practitioner

Dr. Stephanie Ann Dodge , PhD

Psychologist • Hilo, HI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Dodge, PhD is a certified Psychologist practicing in Hilo, HI. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Dodge delivers high-quality medical care to the local community at 688 KINOOLE ST.

Dr. Dodge is affiliated with Kohala Coast Urgent Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

688 Kinoole St

Hilo, HI 967203877

Telephone 8087473445
Fax 8084435196
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Hilo, HI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -22.0 yrs vs City Avg
City Avg: 38.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Hilo, HI (276 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
17.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dodge (16 Years) 16 Yrs
Hilo Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
211 12 $170.00 $140.20

Medical Specialties & State Licenses

CMS Verified: 2024-09-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License HI PSY1318

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID I Don't Have Another Identification Number
000000000000

Hospital & Practice Group Affiliations

Kohala Coast Urgent Care Llc

62 -100 Kaunaoa Dr, Kamuela, HI 967439749

Phone: 8088803321

Secondary Practice Locations

28-255 Stable Camp Rd

Honom, HI 96728

Phone: 8087473445

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Cami Kanahele

Pharmacist

NPI 1114563244
Dr. Douglas Sides , MD

Radiology - Diagnostic Radiology

NPI 1144228255

Doctor of Medicine (M.D.)

Jennifer Kaeo

Counselor

NPI 1194158279
Janet Taylor , LCSW

Social Worker - Clinical

NPI 1285836262

Licensed Clinical Social Worker

Dr. Lane Matsumura , MD

Psychiatry & Neurology - Psychiatry

NPI 1295775476

Doctor of Medicine (M.D.)

Dr. Wendy Kagawa , PharmD, CGP

Pharmacist - Geriatric

NPI 1346362886

Doctor of Pharmacy (Pharm.D.), CGP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 26, 2024

Registered at 688 KINOOLE ST, HILO, HI 967203877 (Tel: 8087473445)

NPI Profile Active May 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2012

Registered at 56 WAIANUENUE AVENUE, HILO, HI 96720 (Tel: 8087473445)

📍
Updated Business Mailing Address May 15, 2012

Registered at PO BOX 11339, HILO, HI 96721 (Tel: 8087473445)

👤
Provider Name / Credentials Updated May 15, 2012

Recorded as STEPHANIE DODGE, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2012

Psychologist (License #PSY1318 in HI)

🟢
Initial NPI Registration & Enumeration May 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942569629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2012
Last Update: September 26, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 11339

Hilo, HI 96721

Phone: 8087473445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.