DR. JACK L. BODDEN (P.H.D.) – Clinical Psychologist, NPI 1649230814

DR. JACK L. BODDEN (P.H.D.) is a healthcare provider. based in College station, Texas. specializing in Clinical Psychologist. They hold the professional credentials P.H.D.. They hold a License No. 20473 (TX). The NPI Number for DR. JACK L. BODDEN (P.H.D.) is 1649230814

Main info

Male
Name
DR. JACK L. BODDEN (P.H.D.)
NPI
1649230814
Phone
(409) 691-3300
Address
1600 UNIVERSITY DR E
Enumeration Date
23 March 2006
Last Update Date
10 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JACK L. BODDEN (P.H.D.)

  • 1600, University Drive East, College Station, Brazos County, Texas, 77840, United States

    COLLEGE STATION, TX 778402642

    Phone: (409) 691-3300

    Type: Location

  • PO BOX 847408

    DALLAS, TX 752847408

    Phone: (254) 724-2111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77840)

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Frequently asked questions

What is DR. JACK L. BODDEN (P.H.D.)'s NPI number?
DR. JACK L. BODDEN (P.H.D.)'s NPI is 1649230814 — the number used across U.S. healthcare to identify this provider.
Is DR. JACK L. BODDEN (P.H.D.) still an active registrant?
DR. JACK L. BODDEN (P.H.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. JACK L. BODDEN (P.H.D.)?
DR. JACK L. BODDEN (P.H.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JACK L. BODDEN (P.H.D.) located near College Station?
DR. JACK L. BODDEN (P.H.D.) currently maps to College Station, Texas in this extract.
Does DR. JACK L. BODDEN (P.H.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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