Odyssey Community School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ODYSSEY COMMUNITY SCHOOL

Practice address

579 Middle Tpke W
Manchester, CT 06040-2728

Phone

(860) 645-1234

Fax

(860) 533-0324

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Amy L Little

Title

Business Manager

Phone

(860) 645-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1417645870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060402728",
            "telephone_number": "860-645-1234",
            "fax_number": "860-533-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060402728",
            "telephone_number": "860-645-1234",
            "fax_number": "860-533-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COMMUNITY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "860-645-1234"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Oates
• Paul Matthew Oberle, PT
• Occupational Health Centers of the Southwest PA
• Concepcion Cabantac Ochotorena, MD
• Corrine Alise Ochsner, LCSW
• David Paul Oellerich, CRNA
• Jessica Adefusika Olayanju, M.D.
• Michael Olkovsky, DDS
• Miguel Olmo
• Alyssa Olsen

• Local Education Agency (LEA) in Manchester, CT
• Providers in Manchester, CT by specialty
• Local Education Agency (LEA) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.