NPIMap

Organization Active NPI

Odyssey House, Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1811351307
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
P056639-1 Issued in NY
Legal business name
ODYSSEY HOUSE, INC.
Practice address
953 Southern Blvd
Suite 301
Bronx, NY 10459-3428
Phone
(718) 860-2994
Fax
(718) 860-4479
NPI assigned
Apr 11, 2016
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Mary Caritas Callahan, L.C.S.W.NPI 1164877643
Title
Senior Manager, Director of Outpati
Phone
(718) 860-2994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P056639-1 NY Primary

Addresses

Primary practice location

953 Southern Blvd
Suite 301
Bronx, NY 10459-3428

Mailing address

953 Southern Blvd
Suite 301
Bronx, NY 10459-3428
Phone (718) 860-2994

National Provider Directory

National Provider Directory
Tax ID family
Odyssey House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

953 Southern Blvd
Rm 301
Bronx, NY 10459
Phone (212) 361-1619

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1811351307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "718-860-2994",
            "fax_number": "718-860-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "718-860-2994",
            "fax_number": "718-860-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CARITAS",
        "authorized_official_title_or_position": "SENIOR MANAGER, DIRECTOR OF OUTPATI",
        "authorized_official_telephone_number": "718-860-2994",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "P056639-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.