Savannah Odem, TLLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

350 E Michigan Ave Ste 20
Kalamazoo, MI 49007-3848

Phone

(269) 598-2837

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1912592106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 APPLE BLOSSOM LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MICHIGAN AVE STE 20",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073848",
            "telephone_number": "269-598-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEM",
        "first_name": "SAVANNAH",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kzooempowerment.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "organization website",
            "address_1": "350 E Michigan Ave Ste 20",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490073848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dale J Obryant, OTR
• Stacy Ochsenrider, NP
• Michela Oconnor
• Ryan Patrick Oconnor
• Dwayne Edward Odell
• Zoe Isabella-Sue Odom
• Anita Oduro Kwarteng
• Shannon Leigh Oehmke, RMT
• Ochuko Andrew Oghor, CRNA
• Rose Ogolla

• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.