SUSAN D ODOM PHD PC
NPI 1235579178
Community/Behavioral Health in San Antonio, TX

Q: What is Susan D Odom Phd PC's NPI number?

The NPI number for Susan D Odom Phd PC is 1235579178. It was assigned to this organization in the NPPES registry on June 25, 2013.

Q: What is Susan D Odom Phd PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 25, 2013

11107 WURZBACH RD, SUITE 403, SAN ANTONIO, TX 78230(210) 698-1100(210) 698-3252 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan D Odom Phd Pc NPPES

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

SUSAN D ODOM PHD PC (NPI 1235579178) is a healthcare organization registered as a community/behavioral health in San Antonio, Texas and active in the NPI registry since June 2013. The organization lists Susan D Odom, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1235579178

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSUSAN D ODOM PHD PC

Location Address11107 WURZBACH RD, SUITE 403San Antonio, TX 78230-2500

Mailing Address11107 Wurzbach Rd, Suite 403San Antonio, TX 78230-2500 · (210) 698-1100 · Fax (210) 698-3252

Phone(210) 698-1100

Fax(210) 698-3252

Organization SubpartNo

Authorized OfficialSusan D OdomPsychologist · (210) 698-1100

Enumeration DateJune 25, 2013

✔ NPI 1235579178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in TX · 33728

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

11107 WURZBACH RD, San Antonio, TX 78230

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Other Providers at the Same Location NPPES 7

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

SARAI LEEB HERMAN PC

Social Worker (Clinical)

11107 WURZBACH RD, SUITE 304
SAN ANTONIO, TX 78230

Bexar County (210) 428-5302

MR. JONATHAN ERNEST HARDY M.S.W.

Counselor (Mental Health)

11107 WURZBACH RD, SUITE 604
SAN ANTONIO, TX 78230

Bexar County (210) 875-8874

SHANNON E SCOTT PH.D.

Psychologist

11107 WURZBACH RD, SUITE 403
SAN ANTONIO, TX 78230

Bexar County (210) 697-1866

AIMEE ELIZABETH SENIOR RDN, LD

Dietitian, Registered

11107 WURZBACH RD
SAN ANTONIO, TX 78230

Bexar County (210) 920-0669

DR. JOHN EDWARD CANNELL PH.D.

Psychologist

11107 WURZBACH RD, SUITE 401
SAN ANTONIO, TX 78230

Bexar County (210) 690-0595

MRS. MARNIE JOY HEMPHALL LCSW

Social Worker

11107 WURZBACH RD, SUITE 304
SAN ANTONIO, TX 78230

Bexar County (210) 415-4615

FUNCTIONAL RD, LLC

Dietitian, Registered

11107 WURZBACH RD
SAN ANTONIO, TX 78230

Bexar County (210) 920-0669

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 D Odom Phd PC's NPI number?

The NPI number for Susan D Odom Phd PC is 1235579178. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Susan D Odom Phd PC located?

Susan D Odom Phd PC is located at 11107 Wurzbach Rd Suite 403, San Antonio, TX 78230. The listed phone number is (210) 698-1100.

What is Susan D Odom Phd PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Susan D Odom Phd PC was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.