ODYSSEY HOUSE, INC
NPI 1013976976
Clinic/Center - Rehabilitation, Substance Use Disorder in Bronx, NY

Active since March 20, 2006CLIA 33D2251835 · Waiver
953 SOUTHERN BLVD RM 301, BRONX, NY 10459(718) 860-2994 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Odyssey House, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODYSSEY HOUSE, INC (NPI 1013976976) is a healthcare organization registered as a rehabilitation, substance use disorder in Bronx, New York and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains 2 additional practice locations, and lists Chiyo Jikko, Assistant Controller, as its authorized official.

NPPES Registry Identity

NPI1013976976
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameODYSSEY HOUSE, INC
Location Address953 SOUTHERN BLVD RM 301Bronx, NY 10459-3428
Mailing Address120 Wall St Ste 1700New York, NY 10005-4001 · (212) 361-1600
Organization SubpartNo
Authorized OfficialChiyo JikkoAssistant Controller · (212) 361-1600
Enumeration DateMarch 20, 2006
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1013976976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
953 SOUTHERN BLVD RM 301, Bronx, NY 10459

Secondary Practice Locations 2

Location 113 Hell Gate CirNew York, NY 10035-6602 · Phone (212) 426-6633
Location 21328 Clinton AveBronx, NY 10456-2548 · Phone (718) 378-8995

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2251835

Odyssey House Inc · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2251835
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 7, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Thomas A. Yared
Laboratory Phone(718) 860-2994
Laboratory LocationOdyssey House Inc953 Southern Blvd - Suite 301, Bronx, NY 10459
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
953 SOUTHERN BLVD RM 301
BRONX, NY 10459
Social Worker (Clinical)
953 SOUTHERN BLVD RM 301
BRONX, NY 10459
Counselor
953 SOUTHERN BLVD RM 301
BRONX, NY 10459
Social Worker
953 SOUTHERN BLVD RM 301
BRONX, NY 10459
Social Worker (Clinical)
953 SOUTHERN BLVD RM 301
BRONX, NY 10459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odyssey House, Inc's NPI number?

The NPI number for Odyssey House, Inc is 1013976976. It was assigned to this organization in the NPPES registry on March 20, 2006.

Where is Odyssey House, Inc located?

Odyssey House, Inc is located at 953 Southern Blvd Rm 301, Bronx, NY 10459. The listed phone number is (718) 860-2994.

What is Odyssey House, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Odyssey House, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2251835) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Odyssey House, Inc was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.