Madeline Odom

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012046 Issued in MI

Practice address

2104 Pinecrest Dr
Ferndale, MI 48220-1225

Phone

(248) 977-2898

NPI assigned

Sep 21, 2023

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Im Hospitalists PLLCGroup PAC ID 2567621477, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671

  MI, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Im Hospitalists PLLC

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1194001222

  MI

  Medicare reassignment Care Compare group
• Michigan App Consultants LLC

  • Clinic/Center
  • Berkley, MI
  • NPI 1093671539
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1992583793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PINECREST DR",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201225",
            "telephone_number": "248-977-2898",
            "fax_number": "888-268-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PINECREST DR",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201225",
            "telephone_number": "248-977-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine L O'Connor-Price, LMSW
• Dawn Marie O'Connor, MA, MS, LLP
• O'Leary Psychotherapy Services LLC
• Kurtis Oaklee, MFT
• Oakridge Manor Nursing & Rehab Center LLC
• Chtaini M Ogwuche
• Janet Marie Oleary, LMSW
• Olive Biosciences Inc.
• Onsite Substance Abuse Testing LLC - New Frontier Counseling Services
• Opening New Doors LLC

• Physician Assistant in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.