Edward Albert Odom, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

40536 Issued in TX

Practice address

28210 Paseo Dr # 190-255
Wesley Chapel, FL 33543-5392

Phone

(813) 438-4701

NPI assigned

Jul 22, 2025

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Haven Psychology, LLC

  dba Haven Psychology Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wesley Chapel, FL
  • NPI 1457233512
  NPD

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1790667681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR STE B180",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583477",
            "telephone_number": "346-370-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28210 PASEO DR # 190-255",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435392",
            "telephone_number": "813-438-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "EDWARD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Madeline O'Connell
• Erin Marie O'Donnell
• Shelley Lynn O'Donnell
• Megan O'Keefe
• Helen R Oderinde, ED.D
• Ohi West Medical Group II LLC (Florida Medical Clinic Orlando Health)
• Ohi West Medical Group II LLC (Florida Medical Clinic Orlando Health)
• Ohi West, Inc (Florida Medical Clinic Orlando Health)
• Ohi Wiregrass Ranch Inc (Florida Medical Clinic Orlando Health Wiregrass Ranch Hospital)
• Chino Okaro

• Clinical Psychologist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.