NPIMap

Individual provider Active NPI

Victor A Oderinde, M.D.

  • Psychiatry Physician
  • Spring, TX
National Provider Identifier
1861486482
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L1148 Issued in TX
Practice address
17207 Kuykendahl Rd
Suite 100
Spring, TX 77379-8423
Phone
(281) 374-8555
Fax
(281) 374-8335
NPI assigned
Sep 9, 2005
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X L1148 TX
Psychiatry Physician 2084P0800X L1148 TX Primary

Addresses

Primary practice location

17207 Kuykendahl Rd
Suite 100
Spring, TX 77379-8423

Mailing address

17207 Kuykendahl Rd
Suite 100
Spring, TX 77379-8423
Phone (281) 374-8555

Other identifiers 1

IdentifierTypeStateIssuer
8K0020OtherTXBC/BS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2018 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry Past Accepting new patients
Behavioral Services of Houston, PA Psychiatry Past Accepting new patients
The University of Texas Health Science Center at Houston Past Accepting new patients
Houston Behavioral Healthcare Hospital, LLC Past Accepting new patients
Texas Cypress Creek Hospital LP Past Accepting new patients
University of Texas Health Science Center at Houston Psychiatry Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients
Shiloh Treatment Center, Inc. Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1861486482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17207 KUYKENDAHL RD",
            "address_2": "SUITE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798423",
            "telephone_number": "281-374-8555",
            "fax_number": "281-374-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17207 KUYKENDAHL RD",
            "address_2": "SUITE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798423",
            "telephone_number": "281-374-8555",
            "fax_number": "281-374-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODERINDE",
        "first_name": "VICTOR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L1148",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L1148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "8K0020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.