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JACQUELINE S ODOM PHD
NPI 1437419025
Psychologist - Clinical in Farmington Hills, MI

Active since May 17, 2012
30375 NORTHWESTERN HWY STE 200, FARMINGTON HILLS, MI 48334(248) 202-3367(248) 254-3333 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline S Odom Phd NPPES

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

JACQUELINE S ODOM PHD (NPI 1437419025) is a healthcare organization registered as a clinical in Farmington Hills, Michigan and active in the NPI registry since May 2012. The organization lists Jacqueline S Odom, President, as its authorized official.

NPPES Registry Identity

NPI1437419025
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJACQUELINE S ODOM PHD
Location Address30375 NORTHWESTERN HWY STE 200Farmington Hills, MI 48334-3299
Mailing Address6250 Gilbert Lake RdBloomfield Hills, MI 48301-1926 · (248) 202-3367 · Fax (248) 254-3333
Phone(248) 202-3367
Fax(248) 254-3333
Organization SubpartNo
Authorized OfficialJacqueline S OdomPresident · (248) 202-3367
Enumeration DateMay 17, 2012
✔ NPI 1437419025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
30375 NORTHWESTERN HWY STE 200, Farmington Hills, MI 48334
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ARIC B COHEN MSW CSW PLC
Social Worker (Clinical)
30375 NORTHWESTERN HWY STE 200
FARMINGTON HILLS, MI 48334
Oakland County (248) 224-0982

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 Jacqueline S Odom Phd's NPI number?

The NPI number for Jacqueline S Odom Phd is 1437419025. It was assigned to this organization in the NPPES registry on May 17, 2012.

Where is Jacqueline S Odom Phd located?

Jacqueline S Odom Phd is located at 30375 Northwestern Hwy Ste 200, Farmington Hills, MI 48334. The listed phone number is (248) 202-3367.

What is Jacqueline S Odom Phd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline S Odom Phd was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.