ODYSSEY HOUSE, INC. (NPI# 1912108390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912108390 |
| Entity Type | Organization |
| Organization Name | ODYSSEY HOUSE, INC. |
| Other Organization Name | ODYSSEYNH |
| Practice Address |
367 Shaker Rd Canterbury NH 03224-2736 |
| Mailing Address |
30 Winnacunnet Rd P.o. Box 479 Hampton NH 03842-2121 |
| Practice Telephone | 6037837016 |
| Practice Fax Number | 6037830358 |
| Mailing Telephone | 6037581550 |
| Mailing Fax Number | 6037581522 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | ERIK B. JOHANNESSEN (CEO) |
| Authorized Official Telephone | 6037581590 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
5564 | NH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30008949 | 05 |
| Other Name | Type Code |
|---|---|
| OdysseyNH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295936656 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 124 Landing Rd, Hampton, NH 03842-2603 | 2007-05-31 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1326588864 | Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 2810 W Charleston Blvd Ste 70, Las Vegas, NV 89102-1993 | 2017-03-02 |
| 1811351307 | Odyssey House, Inc. | Community/Behavioral Health | 953 Southern Blvd, Suite 301, Bronx, NY 10459-3428 | 2016-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ODYSSEY HOUSE, INC. (UTAH) | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 |
| Street Address |
367 SHAKER RD |
| City | CANTERBURY |
| State | NH |
| Zip Code | 03224-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890473 | Nancy Glover | Psychiatry & Neurology | 367 Shaker Rd, Canterbury, NH 03224-2714 | 2017-09-13 |
| 1568846392 | New Freedom Academy, LLC | Substance Abuse Rehabilitation Facility | 367 Shaker Rd, Canterbury, NH 03224-2714 | 2015-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730553330 | Sarah Tirrell-wysocki | Social Worker | 50 Foster Rd, Canterbury, NH 03224 | 2015-11-19 |
| 1346462942 | Lance Richard Messinger | Counselor | 58 Baptist Hill Rd., Canterbury, NH 03224 | 2007-05-03 |
| 1689732794 | Ethel I Hull | Psychologist | 115 Baptist Road, Canterbury, NH 03224 | 2006-12-04 |
| 1548789126 | Merrimack Valley Aba | Behavioral Analyst | 125 Ayers Rd, Canterbury, NH 03224-2202 | 2017-09-14 |
| 1235338492 | Susan Kennedy LLC | Community/Behavioral Health | 132 Morrill Rd, Canterbury, NH 03224-2305 | 2007-07-17 |
| 1861824286 | Caley Jean Shepherd | Physical Therapist | 261 Morrill Rd, Canterbury, NH 03224-2308 | 2013-08-08 |
| 1568088094 | Growing Minds Psychological Services, Pllc | Clinic/Center | 57 Center Rd, Canterbury, NH 03224-2401 | 2020-06-20 |
| 1922577014 | Roots Therapeutic Services, LLC | Occupational Therapist | 105 Clough Pond Rd, Canterbury, NH 03224-2406 | 2018-11-19 |
| 1053856690 | Granite Case Management, LLC | Case Management | 288 Baptist Hill Rd, Canterbury, NH 03224-2506 | 2017-01-05 |
| 1811597677 | Hamlin Consulting | Occupational Therapist | 101 Canterbury Shore Dr, Canterbury, NH 03224-2707 | 2020-10-29 |
| Find all providers in zip 03224 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912166380 | Ammonoosuc Community Health Services Inc | Clinic/Center | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2008-06-02 |
| City | CANTERBURY |
| Zip Code | 03224 |
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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.