Julie Odonnell PHD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

2018012574 Issued in MO

Legal business name

JULIE ODONNELL PHD LLC

Practice address

708 S Woodbine Rd Ste a
Saint Joseph, MO 64507

Phone

(816) 248-8929

Fax

(816) 873-1220

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Julie Ann Odonnell, PHD

Title

Owner

Phone

(785) 288-8172

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1295228344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8575",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088575",
            "telephone_number": "816-248-8929",
            "fax_number": "816-873-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S WOODBINE RD STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64507",
            "telephone_number": "816-248-8929",
            "fax_number": "816-873-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "MO",
            "postal_code": "644291713",
            "country_code": "US",
            "telephone_number": "816-248-8929",
            "fax_number": "816-873-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE ODONNELL PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-288-8172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "2018012574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Bo Joniaux
• Lysbeth Jane Jordan, MOT OTR/L
• Jeffrin Joseph
• Beulah Joshua
• Holden Jackson Joynes, STUDENT
• Perrin Saville Jungbluth, D.D.S., M.D.
• James J Jura, M.D.
• Asad Waseem Kabir, MD
• Sydni Marie Kaden, MS, LAT, ATC
• Kindel J. Kaelke, D.D.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.