ODYSSEY MENTAL HEALTH CARE LLC
NPI 1104592617
Nurse Practitioner - Psychiatric/Mental Health in Carmel, IN

Q: What is Odyssey Mental Health Care LLC's NPI number?

The NPI number for Odyssey Mental Health Care LLC is 1104592617. It was assigned to this organization in the NPPES registry on August 17, 2021.

Q: What is Odyssey Mental Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 17, 2021

3203 DOGWOOD LN, CARMEL, IN 46032(317) 827-2987(317) 219-0879 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Aug 17, 2021 (2 updates tracked since 2021).

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About Odyssey Mental Health Care Llc NPPES

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

ODYSSEY MENTAL HEALTH CARE LLC (NPI 1104592617) is a healthcare organization registered as a psychiatric/mental health in Carmel, Indiana and active in the NPI registry since August 2021. The organization lists Nicole Davis, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1104592617

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameODYSSEY MENTAL HEALTH CARE LLC

Location Address3203 DOGWOOD LNCarmel, IN 46032-9629

Mailing AddressPo Box 523882, C/o The Mailbox #10649Miami, FL 33152-9265 · (317) 827-2987 · Fax (317) 219-0879

Phone(317) 827-2987

Fax(317) 219-0879

Organization SubpartNo

Authorized OfficialNicole DavisCeo/owner · (317) 827-2987

Enumeration DateAugust 17, 2021

Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1104592617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

3203 DOGWOOD LN, Carmel, IN 46032

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

AVERY ELYSE SELCH PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)