Active NPI
Sean M Odell, M.ED, PHD
- Psychologist
- Harrisburg, PA
National Provider Identifier
1639434616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018228
- Practice address
- 2411 N Front St Ste 106
Harrisburg, PA 17110-1160 - Phone
- (717) 585-0050
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS018228 | PA | Primary |
Addresses
Primary practice location
2411 N Front St Ste 106
Harrisburg, PA 17110-1160
Mailing address
2411 N Front St Ste 106
Harrisburg, PA 17110-1160
Phone (717) 585-0050
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)
- Enrolled
- Credentials
- Master of Education, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1639434616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 N FRONT ST STE 106",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101160",
"telephone_number": "717-585-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 N FRONT ST STE 106",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101160",
"telephone_number": "717-585-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "SEAN",
"middle_name": "M",
"credential": "M.ED, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PA",
"license": "PS018228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
- Corinna R Oburn, PT
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest PA
- Oculoplastic Consultants of Central PA
- Olutunde O Odeyemi, MD
- Marnie Irene Odonnell, PAC
- Amanda Oechler, RN, BSN
- Heather Elizabeth Ofak, RN, BSN
- Nichele Oglesby, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.