NPIMap

Organization Active NPI

Odyssey Programs, LLC

Doing business as Odyssey - Dakota County Juvenile Service Center

  • Substance Abuse Rehabilitation Facility
  • Hastings, MN
National Provider Identifier
1619091659
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10239271CDT Issued in MN
Legal business name
ODYSSEY PROGRAMS, LLC
Doing business as
Odyssey - Dakota County Juvenile Service Center
Practice address
1600 Highway 55
Hastings, MN 55003
Phone
(651) 438-8219
Fax
(651) 438-8252
NPI assigned
Mar 16, 2007
Organization subpart
Yes
Parent organization
MERIDIAN BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Paul Alan Lindeman
Title
Director - Revenue Cycle Management
Phone
(612) 326-7566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1023927 MN
Substance Abuse Rehabilitation Facility 324500000X 10239271CDT MN Primary

Addresses

Primary practice location

1600 Highway 55
Hastings, MN 55003

Mailing address

550 Main STR
#230
New Brighton, MN 55112
Phone (612) 326-7600

Other names 1

  • Odyssey - Dakota County Juvenile Service Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odyssey - County Home School4 organizations share this tax ID, including this one
Part of
Alliance Clinic

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1619091659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN STR",
            "address_2": "#230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-326-7600",
            "fax_number": "612-326-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HIGHWAY 55",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "55003",
            "telephone_number": "651-438-8219",
            "fax_number": "651-438-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PROGRAMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN BEHAVIORAL HEALTH",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR - REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "612-326-7566"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1023927",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "10239271CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey - Dakota County Juvenile Service Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.