Provider Demographics
NPI:1215930920
Name:DODD, JANET M (PHD)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:DODD
Suffix:
Gender:
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:DODD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:3804 S MALTA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-7419
Mailing Address - Country:US
Mailing Address - Phone:720-938-2804
Mailing Address - Fax:
Practice Address - Street 1:791 CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-7112
Practice Address - Country:US
Practice Address - Phone:303-617-2300
Practice Address - Fax:303-617-2344
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000945103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO107936355OtherUNITED PROVIDER NUMBER
CO236870OtherMANAGED HEALTH NETWORK #
CO345469000OtherMAGELLAN PROVIDER NUMBER
CO016140OtherVALUE OPTIONS PROVIDER #
CO7453442OtherAETNA PROVIDER NUMBER
COA73EEE662FOtherTRICARE PROVIDER NUMBER
COCOB4935Medicare PIN
CO236870OtherMANAGED HEALTH NETWORK #