DR. SUSAN DEAN ODOM PH.D.
NPI 1043481195
Psychologist in San Antonio, TX
About Dr. Susan Dean Odom Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN DEAN ODOM PH.D. (NPI 1043481195) is an individual psychologist in San Antonio, Texas, licensed in Texas (33728) and active in the NPI registry since March 2008. She has opted out of Medicare through April 1, 2027.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Susan Dean Odom Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.
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 Susan Odom's NPI number?
The NPI number for Susan Odom is 1043481195. It was assigned to this individual provider in the NPPES registry on March 17, 2008.
Where is Susan Odom located?
Susan Odom practices at 13423 Blanco Rd Unit 803, San Antonio, TX 78216. The listed phone number is (210) 689-1100.
What is Susan Odom's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Susan Odom enrolled in Medicare?
No. Susan Odom has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Susan Odom was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.