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JACQUELINE S ODOM PHD
NPI 1881763464
Psychologist - Clinical in Royal Oak, MI

Active since November 07, 2006
4949 COOLIDGE HWY, ROYAL OAK, MI 48073(248) 655-5900(248) 655-5901 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 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 1881763464) is an individual clinical provider in Royal Oak, Michigan, licensed in Michigan (JO010213) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1881763464
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELINE S ODOMCredential: PHD
Location Address4949 COOLIDGE HWYRoyal Oak, MI 48073-1026
Mailing Address6250 Gilbert Lake RdBloomfield Hills, MI 48301-1926 · (248) 645-1231
Phone(248) 655-5900
Fax(248) 655-5901
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881763464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · JO010213
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.
4949 COOLIDGE HWY, Royal Oak, MI 48073
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Other Identifiers 1

Medicare UPINR68351MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

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.

ERIN REAUME
Speech-Language Pathologist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5975
DIANE KARLE PHD
Clinical Neuropsychologist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5200
VALERIE SAWYER
Speech-Language Pathologist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5695
LEAH ANNE RUST
Physical Therapist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5800
LEAH TOLTESI
Speech-Language Pathologist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5800
PATRICIA NIZIO
Speech-Language Pathologist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5975
MRS. JILLIAN ANNETTE PITT AT, ATC
Specialist/Technologist (Athletic Trainer)
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5700
MRS. RACHELLE MARIE LARSON PT
Physical Therapist
4949 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 655-5700

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 Odom's NPI number?

The NPI number for Jacqueline Odom is 1881763464. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Jacqueline Odom located?

Jacqueline Odom practices at 4949 Coolidge Hwy, Royal Oak, MI 48073. The listed phone number is (248) 655-5900.

What is Jacqueline Odom's specialty?

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

What insurance does Jacqueline Odom accept?

Health plans from McLaren Health Plan Community list Jacqueline Odom 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 Jacqueline Odom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.