NPIMap

Organization Active NPI

Flint Odyssey House Outpatient Services

  • Substance Abuse Rehabilitation Facility
  • Flint, MI
National Provider Identifier
1326484064
Registry record updated May 21, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
250349 Issued in MI
Legal business name
FLINT ODYSSEY HOUSE OUTPATIENT SERVICES
Practice address
1108 Lapeer Rd
Flint, MI 48503-2704
Phone
(810) 232-7919
Fax
(810) 232-7913
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Mellissa Jacquelyn Hasler, LLBSW, RAC,
Title
Sud Therapist
Phone
(810) 232-7919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 250349 MI Primary

Addresses

Primary practice location

1108 Lapeer Rd
Flint, MI 48503-2704

Mailing address

1108 Lapeer Rd
Flint, MI 48503-2704
Phone (810) 232-7919

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1326484064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 LAPEER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032704",
            "telephone_number": "810-232-7919",
            "fax_number": "810-232-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 LAPEER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032704",
            "telephone_number": "810-232-7919",
            "fax_number": "810-232-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT ODYSSEY HOUSE OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "HASLER",
        "authorized_official_first_name": "MELLISSA",
        "authorized_official_middle_name": "JACQUELYN",
        "authorized_official_title_or_position": "SUD THERAPIST",
        "authorized_official_telephone_number": "810-232-7919",
        "authorized_official_credential": "LLBSW, RAC,"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "250349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.