Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jessica K Dodge, PHD, LP, BCBA

Individual provider Psychologist · NPI 1205383676

Dr. Jessica K Dodge, PHD, LP, BCBA is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2014, 12 years ago. Practices with Fraser Child and Family Center, a 55-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone: (952) 767-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6028 (MN)

Record details

NPI number1205383676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP , BCBA
Sole proprietorNo
NPI enumeratedSeptember 2, 2016
Last updated in NPPESSeptember 2, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Fraser Child And Family Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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