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DR. LYDIA ODENAT PHD
NPI 1366847097
Psychologist - Cognitive & Behavioral in Marietta, GA

Active since October 23, 2014Opted out of Medicare · through Jan 2, 2028
1640 POWERS FERRY RD SE BLDG 18-250, MARIETTA, GA 30067(678) 687-9149 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 20, 2017 (2 updates tracked since 2017).

About Dr. Lydia Odenat Phd NPPES

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

DR. LYDIA ODENAT PHD (NPI 1366847097) is an individual cognitive & behavioral provider in Marietta, Georgia, licensed in Georgia (PSY003854) and active in the NPI registry since October 2014. She has opted out of Medicare through January 2, 2028 and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1366847097
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. LYDIA ODENATCredential: PHD
Location Address1640 POWERS FERRY RD SE BLDG 18-250Marietta, GA 30067-9461
Mailing Address1777 Walker Ridge Dr SwMarietta, GA 30064-4192 · (678) 687-9149
Phone(678) 687-9149
Sole ProprietorYes
Enumeration DateOctober 23, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1366847097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in GA · PSY003854
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
1640 POWERS FERRY RD SE BLDG 18-250, Marietta, GA 30067
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Secondary Practice Location 1

Location 12751 Buford Hwy NE Ste 700Atlanta, GA 30324-5510 · Phone (678) 687-9149

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. Lydia Odenat Phd 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 January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lydia Odenat's NPI number?

The NPI number for Lydia Odenat is 1366847097. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Lydia Odenat located?

Lydia Odenat practices at 1640 Powers Ferry Rd SE Bldg 18-250, Marietta, GA 30067. The listed phone number is (678) 687-9149.

What is Lydia Odenat's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Lydia Odenat enrolled in Medicare?

No. Lydia Odenat has opted out of Medicare through January 2, 2028. 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 Lydia Odenat was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.