SOPHIA ODEH
NPI 1861046989
Clinical Neuropsychologist in Boston, MA

Q: What is Sophia Odeh's NPI number?

The NPI number for Sophia Odeh is 1861046989. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Q: What is Sophia Odeh's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Sophia Odeh was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since July 26, 2019PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2026, Apr 1, 2025, Jul 26, 2019 (3 updates tracked since 2019).

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About Sophia Odeh NPPES

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

SOPHIA ODEH (NPI 1861046989) is an individual clinical neuropsychologist in Boston, Massachusetts, licensed in Massachusetts (PSY5000192) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brookline, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861046989

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameSOPHIA ODEH

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000

Phone(617) 355-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 26, 2019

Last NPPES UpdateApril 8, 20263 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1861046989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MA · PSY5000192

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY5000192 (MA)

300 LONGWOOD AVE, Boston, MA 02115

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Secondary Practice Location 1

Location 12 Brookline PlBrookline, MA 02445-7230 · Phone (617) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Odeh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496224263

PECOS Enrollment IDI20260521000973

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Odeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Childrens Heart Foundation Inc

Same address

Pediatric Cardiology

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
220 clinicians in this Medicare group

NPI 1982680922 (617) 355-6793

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Sophia Odeh's NPI number?

The NPI number for Sophia Odeh is 1861046989. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Sophia Odeh located?

Sophia Odeh practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Sophia Odeh's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Sophia Odeh enrolled in Medicare?

Yes. Sophia Odeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Odeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Odeh reassigns Medicare benefits to Boston Childrens Heart Foundation Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Odeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Odeh accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Sophia Odeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Odeh was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.