Active NPI
McKinlee K O'Dell
- Behavior Technician
- San Marcos, CA
National Provider Identifier
1508452111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 910 W San Marcos Blvd Ste 104
San Marcos, CA 92078-1116 - Phone
- (562) 810-3295
- NPI assigned
- Dec 17, 2020
- Last updated
- Dec 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
910 W San Marcos Blvd Ste 104
San Marcos, CA 92078-1116
Mailing address
23411 Summerfield Apt 50B
Aliso Viejo, CA 92656-2893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creating a Positive Environment, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Carlsbad, CA
- NPI 1497245526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1508452111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23411 SUMMERFIELD APT 50B",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W SAN MARCOS BLVD STE 104",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781116",
"telephone_number": "562-810-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "MCKINLEE",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
- Thays Schouwe Novikoff, M.D.
- Peter Allen Novota, M.D.
- Selina Nunez
- Tiara Nunez
- Caroline O'Connor
- Valentina Obradovic, DDS
- Cynthia Christine Ocampo
- Cody Douglas Occhino
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center, A Medical Corporation)
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.