Stephen A Odom, PHD, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42479 Issued in CA

Practice address

6700 E Pacific Coast Hwy Ste 287
Long Beach, CA 90803-4234

Phone

(562) 493-3300

NPI assigned

Mar 18, 2009

Last updated

Apr 22, 2020By 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

Credentials

Doctor of Philosophy

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.

• The Ontogeny Partners Inc

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1538432133
  NPD Authorized official
• Beyond Healthcare Holdings, LLC

  • Multi-Specialty Clinic/Center
  • Sunset Beach, CA
  • NPI 1588412563
  Authorized official Same address or phone
• Focus Psychological Service, Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1619897295
  Authorized official Same address or phone

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1821239062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "SUNSET BEACH",
            "state": "CA",
            "postal_code": "907420586",
            "telephone_number": "949-735-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 E PACIFIC COAST HWY STE 287",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034234",
            "telephone_number": "562-493-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Newport Blvd",
            "address_2": "Suite 165",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272278",
            "country_code": "US",
            "telephone_number": "949-735-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "PHD, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Ogheneovo Oderoha
• Ariel Elise Odlum, MD
• Jessica Chikaodili Odoh
• Gary Odom
• Marilyn Diane Odom
• Michael Patrick Odonnell, MD
• Jill Oestreicher, N.P.
• Ofay Fitness & Health
• Miriam Ngozi Ofili, FNP
• Marc Ross Ofstein, M.D.

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.