Odyssey Community Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ODYSSEY COMMUNITY SERVICES INC

Practice address

710 Mobjack PL
Newport News, VA 23606-1957

Phone

(757) 438-5447

Fax

(866) 389-9886

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Tyrone Jackson Melvin Jr.

Title

President/Ceo

Phone

(757) 438-5447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1790189520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13389 WINDSONG WAY",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143483",
            "telephone_number": "757-438-5447",
            "fax_number": "866-389-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-438-5447",
            "fax_number": "866-389-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-438-5447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Adhiambo Choka Ochieng, FNP
• Timothy Andrew Oconnell, M.D.
• Lisa Odabasi, MD
• Gabriel Otanoigbe Odekhain, MASTER OF HEALTH SER
• Jacqueline Odhiambo, CRNA
• Uchenna Ofodile
• Priscilla Claire Ogden, LPC, NCC
• Sylvia Ann Ogden, RN CDCES
• Bandetra Oglesby-Confron
• Babatunde Ogunjulugbe

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.