ODYSSEY FOR PERSONAL WELLNESS INC. (NPI# 1275150203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275150203 |
| Entity Type | Organization |
| Organization Name | ODYSSEY FOR PERSONAL WELLNESS INC. |
| Practice Address |
706 13th St Modesto CA 95354-2414 |
| Mailing Address |
1701 Epping Ave Modesto CA 95355-7859 |
| Practice Telephone | 9252789045 |
| Mailing Telephone | 9252789045 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | MR. CLIFFORD FRANK OWENS (PRESIDENT) |
| Authorized Official Telephone | 9252789045 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
706 13TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619062957 | Cheryl Kajander Carmichael | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2006-10-03 |
| 1730533787 | Lauren Austin | Marriage & Family Therapist | 706 13th St, Modesto, CA 95354-2414 | 2016-04-15 |
| 1669696639 | Susan Hubbell Diamond | Marriage & Family Therapist | 706 13th St, Modesto, CA 95354-2414 | 2007-04-12 |
| 1871616243 | Edward Moles | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2007-04-09 |
| 1013065101 | James Oral Henman | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2007-01-08 |
| 1649328741 | Sonia Maria Henman | Marriage & Family Therapist | 706 13th St, Modesto, CA 95354-2414 | 2007-01-08 |
| 1487710182 | Adrienne Tande Guida | Marriage & Family Therapist | 706 13th St, Modesto, CA 95354-2414 | 2006-12-28 |
| 1245394667 | Donald -- Strangio | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2006-12-20 |
| 1720156300 | Valorie J Davis | Counselor | 706 13th St, Modesto, CA 95354-2414 | 2006-12-01 |
| 1730252461 | Steven Ross Carmichael | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2006-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1578648903 | Valley Psychiatric Professional Corporation | Clinic/Center | 1011 Coffee Rd, Modesto, CA 95355-4203 | 2006-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.