NPIMap

Organization Active NPI

Odyssey Education Academy Inc

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1841630456
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00117360 Issued in IL
Legal business name
ODYSSEY EDUCATION ACADEMY INC
Practice address
11738 S Laurel Dr
Apt. 4a
Laurel, MD 20708-2940
Phone
(202) 499-0885
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Omar Sillah, CRCNPI 1215375282
Title
President, Owner
Phone
(202) 499-0885

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 00117360 IL Primary

Addresses

Primary practice location

11738 S Laurel Dr
Apt. 4a
Laurel, MD 20708-2940

Mailing address

11738 S Laurel Dr
Apt. 4a
Laurel, MD 20708-2940

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1841630456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11738 S LAUREL DR",
            "address_2": "APT. 4A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11738 S LAUREL DR",
            "address_2": "APT. 4A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082940",
            "telephone_number": "202-499-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY EDUCATION ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "SILLAH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "202-499-0885",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "00117360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.