Richard L Odor PHD Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4100 Issued in OH

Legal business name

RICHARD L ODOR PHD INC

Practice address

7664 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158

Phone

(614) 863-4119

Fax

(614) 863-4040

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Richard L Odor, PHDNPI 1245411230

Title

President

Phone

(614) 863-4119

Specialties & licenses 1

Addresses

Other names 1

• Richard L Odor PhD Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Lane Odor, PHD

  • Clinical Psychologist
  • Reynoldsburg, OH
  • NPI 1245411230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195344000000",
    "number": "1972587442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688158",
            "telephone_number": "614-863-4119",
            "fax_number": "614-863-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688158",
            "telephone_number": "614-863-4119",
            "fax_number": "614-863-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L ODOR PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-11-18",
        "status": "A",
        "authorized_official_last_name": "ODOR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-863-4119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard L Odor PhD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reynoldsburg Eyecare
• Reynoldsburg Internal Medicine,Inc
• Reynoldsburg Podiatry Center LLC
• Reynoldsburg Vision Associates Inc
• Ruth Anne Rhodes, LPN
• Antwon Lamar Richards, QMHS
• Pamela Gail Richmond
• John Stuart Riddel, DC
• Ride on Time
• Seneca Ridley, M.ED

• Clinical Psychologist in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.