Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cynthia A Dodge, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1689746653

Cynthia A Dodge, PHD is a Clinical Social Worker in Peoria, Arizona. Qualified in 1984, 42 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
42
Licensed in
ME
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

25827 N 122nd Ln
Peoria, AZ 85383-5814
Phone: (928) 863-8431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence LC4083 (ME)

Record details

NPI number1689746653
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing address30 Colinas, Sedona, AZ 86351-9238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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