John Egbeazien Oshodi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004933 Issued in FL

Practice address

1065 N.E. 125 Street,
Suite 317a
Miami, FL 33161

Phone

(305) 623-5979

Fax

(305) 623-9414

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1881798932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551874",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330550874",
            "telephone_number": "305-623-5979",
            "fax_number": "305-623-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 N.E. 125 STREET,",
            "address_2": "SUITE 317A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "305-623-5979",
            "fax_number": "305-623-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHODI",
        "first_name": "JOHN",
        "middle_name": "EGBEAZIEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004933",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY0004933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Nicole Ose, DNP, FNP-C
• Miriam Agyakomah Osei, MD, MPH
• Florence Temitayo Osemota, MSN, APRN, FNP-C
• Daylen Osendi Diaz
• Daniel Osherov
• Daniel Sebastian Osio
• Sheena Christian Osirus
• Oslay Batista MD PA
• Osler Medical Center Corp
• Brian Mark Osman, M.D.

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.