ODYSSEY HOUSE, INC. (NPI# 1295936656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295936656 |
| Entity Type | Organization |
| Organization Name | ODYSSEY HOUSE, INC. |
| Other Organization Name | ODYSSEYNH |
| Practice Address |
124 Landing Rd Hampton NH 03842-2603 |
| Mailing Address |
30 Winnacunnet Rd P.o. Box 479 Hampton NH 03842-2121 |
| Practice Telephone | 6039263195 |
| Practice Fax Number | 6039263195 |
| Mailing Telephone | 6037581550 |
| Mailing Fax Number | 6037581522 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | ERIK B. JOHANNESSEN (CEO) |
| Authorized Official Telephone | 6037581590 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 2130 | NH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30007481 | 05 |
| Other Name | Type Code |
|---|---|
| OdysseyNH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912108390 | Odyssey House, Inc. | Clinic/Center | 367 Shaker Rd, Canterbury, NH 03224-2736 | 2007-05-31 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1326588864 | Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 2810 W Charleston Blvd Ste 70, Las Vegas, NV 89102-1993 | 2017-03-02 |
| 1811351307 | Odyssey House, Inc. | Community/Behavioral Health | 953 Southern Blvd, Suite 301, Bronx, NY 10459-3428 | 2016-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ODYSSEY HOUSE, INC. (UTAH) | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 |
| Street Address |
124 LANDING RD |
| City | HAMPTON |
| State | NH |
| Zip Code | 03842-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477937894 | Melanie Busey | Nurse Practitioner | 55 High St Ste 302, Hampton, NH 03842 | 2015-07-15 |
| 1316226624 | Oceanside Family Dental | Dentist | 750 Lafayette Road, Hampton, NH 03842 | 2011-08-04 |
| 1043431315 | Winnacunnet High School | Local Education Agency (LEA) | 2 Alumni Drive, Hampton, NH 03842 | 2007-05-02 |
| 1194947069 | Melissa H Gahr | Physical Therapist | 881 Lafayette Road, Unit K, Hampton, NH 03842 | 2007-05-02 |
| 1952456014 | Henry Haskins Ferrell IIi | Urology | 1 Park Avenue, Unit 6 1, Hampton, NH 03842 | 2007-01-25 |
| 1710087184 | David M Hartenstein | Optometrist | 760 Lafayette Road, Hampton, NH 03842 | 2006-09-25 |
| 1447356340 | Kimberly Brian Boyer | Optometrist | 28 E Depot Sq, H Ampton Vision Center, Hampton, NH 03842 | 2006-09-16 |
| 1356451454 | Brett Michael Leclair | Chiropractor | 239 Drakside Rd, Hampton, NH 03842 | 2006-08-30 |
| 1659489094 | Donna Kaminski | Physical Therapist | 23 Stickney Terrace, Hampton, NH 03842 | 2006-08-27 |
| 1851385512 | Susan Hathaway | Physician Assistant | 879 Lafayette Rd, Hampton, NH 03842 | 2005-09-08 |
| Find all providers in zip 03842 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972768323 | Serenity Center | Residential Treatment Facility, Emotionally Disturbed Children | 106 Fox Hill Rd, Hampton, VA 23669-2309 | 2008-07-25 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1801097753 | Dominion Services for All People | Residential Treatment Facility, Emotionally Disturbed Children | 9 Maume Cir, Hampton, VA 23666-1716 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043538523 | The Hartmann School | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Road, Rumney, NH 03266 | 2010-05-10 |
| 1235368218 | Spaulding Youth Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 130 Shedd Road, Northfield, NH 03276 | 2009-07-10 |
| 1720265531 | New England Salem Children's Trust | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Rd., Rumney, NH 03266 | 2008-01-23 |
| 1699951541 | Rolfe and Rumford Home | Residential Treatment Facility, Emotionally Disturbed Children | 23 Rundlett St, Concord, NH 03301-2223 | 2008-01-10 |
| 1396920344 | The Chase Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 698 Middle Rd, Portsmouth, NH 03801-4829 | 2008-01-08 |
| 1184812463 | Wediko Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 11 Bobcat Blvd, Windsor, NH 03244-7419 | 2007-10-11 |
| 1376756528 | Malley Farm Boys Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 250 Indigo Hill Rd, Somersworth, NH 03878-2917 | 2007-05-07 |
| 1215159694 | Tobey School | Residential Treatment Facility, Emotionally Disturbed Children | 45 S Fruit St, Concord, NH 03301-2410 | 2007-05-03 |
| 1972729747 | Pine Haven Boys Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 133 River Rd, Allenstown, NH 03275-2362 | 2007-04-18 |
| 1295857811 | New Hampshire Womans Christian Temperance Union | Residential Treatment Facility, Emotionally Disturbed Children | 86 Mammoth Rd, Manchester, NH 03109-4300 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.