Susan D Odom PHD PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

33728 Issued in TX

Legal business name

SUSAN D ODOM PHD PC

Practice address

11107 Wurzbach Rd
Suite 403
San Antonio, TX 78230-2500

Phone

(210) 698-1100

Fax

(210) 698-3252

NPI assigned

Jun 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan D Odom, PHD

Title

Psychologist

Phone

(210) 698-1100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1235579178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 WURZBACH RD",
            "address_2": "SUITE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302500",
            "telephone_number": "210-698-1100",
            "fax_number": "210-698-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 WURZBACH RD",
            "address_2": "SUITE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302500",
            "telephone_number": "210-698-1100",
            "fax_number": "210-698-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN D ODOM PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-698-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "33728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Richard Surley, CMFT
• Katie Surls, D.C.
• Emily Surratt
• Gundlapalli Surya Sr., MD
• Durga Suryadevara, MD
• Susan Homan MD PLLC
• Susan Homecare Inc,
• Susan Marie Perez, LCSW, PLLC
• Susan Portnoy Epner, M.D., P.a.
• Carolyn Marie Susca, APRN NP-C

• Community/Behavioral Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.