Kate Odom

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0710118 Issued in IL

Practice address

837 N Kenilworth Ave
Oak Park, IL 60302-1518

Phone

(312) 566-8567

NPI assigned

Sep 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Garden Health Group LLCGroup PAC ID 8325558786, 4 clinicians

Primary Care Associates LTDGroup PAC ID 7416917059, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garden Health Group LLC

  • Clinical Psychologist
  • River Forest, IL
  • NPI 1639975881
  Medicare reassignment Care Compare group NPD
• Primary Care Associates LTD

  • Family Medicine Physician
  • Berwyn, IL
  • NPI 1588731764
  Medicare reassignment Care Compare group NPD
• Lake Behavioral Health Associates, LLC

  • Clinical Psychologist
  • River Forest, IL
  • NPI 1467037754
  NPD (past)
• Dr. Tutty, PLLC

  • Community/Behavioral Health Agency
  • Silverdale, WA
  • NPI 1053757146
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1306079504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 ZELZAH AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N KENILWORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021518",
            "telephone_number": "312-566-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2023-05-15",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "PY0710118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Obeso, MD
• Objectives Behavioral Health, LLC
• Adrian Javier Ochoa
• Maureen Sauvain Oconnor, M.S.W.
• Holly J Odean, A.T.,C.
• Kylii Odom
• Jennifer Ann Oh, LCPC
• Aaron Ntiri Ohemeng, D.D.S.
• Maryam Ojulari, MD
• Solomon Okoe Okai, M.D.

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.