ODYSSEY HOUSE, INC
NPI 1013976976
Clinic/Center - Rehabilitation, Substance Use Disorder in Bronx, NY
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
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Odyssey House, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Odyssey House, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Odyssey House, Inc enrolled in Medicare?
Yes. Odyssey House, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Odyssey House, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Odyssey House, Inc, in Clinical Social Worker, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 9 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.
# Odyssey House, Inc · NPI 1013976976
Rehabilitation, Substance Use Disorder organization in Bronx, New York. Organization record, active in the CMS NPPES registry since March 20, 2006.
## Identity
- **NPI:** 1013976976 (Entity type: Organization)
- **Enumerated:** March 20, 2006
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Chiyo Jikko, ASSISTANT CONTROLLER
## Practice location
- **Address:** 953 SOUTHERN BLVD RM 301, Bronx, NY 10459-3428
- **Phone:** (718) 860-2994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1), Psychiatry (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013976976) · Data from the CMS NPPES public registry.