Odyssey Wellness Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ODYSSEY WELLNESS INC.

Practice address

3067 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3750

Phone

(702) 202-0000

Fax

(702) 920-8865

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sarah AhmadNPI 1588810543

Title

President

Phone

(702) 202-0000

Specialties & licenses 1

Addresses

Tax ID family

Odyssey Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Odyssey Wellness Inc.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1477362614
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Ahmad, PSY.D.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1588810543
  NPD Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1508409954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203750",
            "telephone_number": "702-202-0000",
            "fax_number": "702-920-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203750",
            "telephone_number": "702-202-0000",
            "fax_number": "702-920-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-202-0000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Kayla Odynski, PA-C
• Odyssey & Company
• Odyssey House of Utah, Inc.
• Odyssey House, Inc. (Odyssey House)
• Odyssey Wellness Inc.
• Oeasy Premier LLC
• Kristoph Andreas Olof Oedman
• Serina Arlene Oehler, B.A.
• George Montgomery Oehlsen, DO
• Maria Oertel

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.