Odyssey Programs LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

8309164CDT Issued in MN

Legal business name

ODYSSEY PROGRAMS LLC

Doing business as

Odyssey - Eagan

Practice address

1230 Eagan Industrial Road
Suite 100
Eagan, MN 55121

Phone

(612) 916-4873

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Paul Lindeman

Title

Director - Revenue Cycle MGMT

Phone

(612) 326-7566

Specialties & licenses 2

Addresses

Other names 1

• Odyssey - Eagan Doing business as

Tax ID family

Odyssey - County Home School4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Odyssey Programs, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Minnetonka, MN
  • NPI 1265556203
  NPD tax ID
• Odyssey Programs, LLC

  • Substance Abuse Rehabilitation Facility
  • Hastings, MN
  • NPI 1619091659
  NPD tax ID
• Odyssey Programs, LLC

  • Addiction (Substance Use Disorder) Counselor
  • New Brighton, MN
  • NPI 1700903952
  NPD tax ID

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1245364645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN STREET",
            "address_2": "SUITE 230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-326-7600",
            "fax_number": "651-631-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 EAGAN INDUSTRIAL ROAD",
            "address_2": "SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "612-916-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PROGRAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR - REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "612-326-7566"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "8309164CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey - Eagan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Timothy O'Regan, PHD
• Occupational Health Centers of Minnesota PC
• Scarlett Heather Oconnell, MA, LPCC
• Kaitlyn Marie Oddo, FNP-C
• Melissa Odorzynski, PHARM.D., MPH
• Sandra Mary Oehlke, C.P.N.P.
• Sandra J. Ohlenschlager, PHYSICAL THERAPIST
• Rachel Ohman
• Shauna Leigh Okongo, FNP-C
• Roger Olsen, LP, PSY.D

• Substance Abuse Rehabilitation Facility in Eagan, MN
• Providers in Eagan, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.