Carol M Odom, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Middletown, Connecticut
1699358713- Practice location
- 675 Main St, Middletown, CT 06457-2732
- Phone
- 860-347-6971
- Fax
- —
- Last updated
- October 12, 2026
Carol Michelle Odom is a Nurse Practitioner, Psych/Mental Health based in Middletown, CT. Carol Michelle Odom practices in Middletown, CT and has the professional credentials of PMHNP-BC. The NPI Number for Carol Michelle Odom is 1699358713 and holds a License No. F403467 (NY). The current practice location address for Carol Michelle Odom is 675 Main St, Middletown, CT 06457-2732 and can be reached out via phone at 860-347-6971.
Provider Profile Details
- NPI Number
- 1699358713
- Provider Name
- Carol Michelle Odom
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 675 Main St, Middletown, CT 06457-2732
- Phone Number
- 860-347-6971
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2021
- Last Update Date
- October 12, 2026
- Certification Date
- October 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 675 Main St
Middletown, CT 06457-2732 - City
- Middletown
- State
- Connecticut
- Zip
- 06457-2732
- Phone Number
- 860-347-6971
Provider Business Mailing Address Details
- Address
- 675 Main St
Middletown, CT 06457-2732 - City
- Middletown
- State
- CT
- Zip
- 06457-2732
- Phone Number
- 860-347-6971
License Information
- License Number (1)
- F403467
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 9862
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Carol M Odom, PMHNP-BC?
The NPI number of Carol M Odom, PMHNP-BC is 1699358713. It was assigned on May 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Carol M Odom, PMHNP-BC?
Carol M Odom, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number F403467.
Where does Carol M Odom, PMHNP-BC practice?
The practice location is 675 Main St, Middletown, CT 06457-2732. The office can be reached at 860-347-6971 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699358713 directly on the NPPES registry website.