Odile Psychotherapy Service, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ODILE PSYCHOTHERAPY SERVICE, PLLC

Practice address

875 Dekalb Ave
Brooklyn, NY 11221-6244

Phone

(917) 260-9138

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Yanique Hird

Title

Billing Manager

Phone

(347) 517-9224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1790431294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216244",
            "telephone_number": "917-260-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216244",
            "telephone_number": "917-260-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODILE PSYCHOTHERAPY SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "HIRD",
        "authorized_official_first_name": "YANIQUE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "347-517-9224"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Jo Odermann
• Freida Odes, M.S. CCC-SLP
• Lyubov Nikolaevna Odes, PA
• Vladimir Odesskiy, LDO
• Chukwudi Odigbo
• Chika Nkiru Odili
• Michael Edward Odinsky, DPM
• Peter Odion
• Ejiro Odjodu
• Christine Odle Williams

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.