CHARLES ODIPO (NPI# 1568610822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568610822 |
| Entity Type | Individual |
| Full Name | CHARLES ODIPO |
| Credential | ED. D |
| Practice Address |
3067 Freeport Blvd Sacramento CA 95818-4347 |
| Practice Telephone | 9162177529 |
| Practice Fax Number | 9162290689 |
| Mailing Telephone | 9162177529 |
| Mailing Fax Number | 9162290689 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY19345 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3067 FREEPORT BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95818-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720296379 | Susan Haverty | Specialist | 3067 Freeport Blvd, Sacramento, CA 95818-4347 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206557 | Ten Acres Pharmacy | Pharmacy | 2930 Freeport Blvd, Sacramento, CA 95818 | 2020-05-14 |
| 1467928200 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 | 2018-10-19 |
| 1295254084 | Family Business Ventures LLC | In Home Supportive Care | 2026 X Street, Sacramento, CA 95818 | 2017-09-13 |
| 1932656550 | Roshelle Chan | Student in an Organized Health Care Education/Training Program | 1964 36th Street, Sacramento, CA 95818 | 2016-09-01 |
| 1144692724 | Ivyridge Assisted Living | Assisted Living Facility | 2030 23 Rd Street, Sacramento, CA 95818 | 2015-10-22 |
| 1255672788 | Kimberly Ann Delaney | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2013-03-07 |
| 1285985473 | Salatha Helton | Marriage & Family Therapist | 3067 Freeport Blvd Ste 8, Sacramento, CA 95818 | 2012-09-27 |
| 1508976382 | Victoria M Sarantopulos | Marriage & Family Therapist | 2015 21st St Suite 304, Sacramento, CA 95818 | 2006-08-30 |
| 1871986638 | Connected Speech Therapy, Inc. | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2015-03-18 |
| 1851640965 | Chris Arbabian | Chiropractor | 2716 V Street, Sacramento, CA 95818 | 2012-09-05 |
| Find all providers in zip 95818 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750655296 | Ewing Psychological Center | Psychologist | 100 Howe Ave, Suite 155n, Sacramento, CA 95825-8202 | 2012-03-01 |
| 1043438500 | Michael R Erickson | Psychologist | 50 Fullerton Ct, Suite 200, Sacramento, CA 95825-6205 | 2007-04-23 |
| 1699821199 | Anton Raymond Paulson | Psychologist | 601 University Ave Ste 225, Sacramento, CA 95825-6720 | 2007-01-26 |
| 1710481494 | Tamara Rosenfield | Psychologist | 3400 Cottage Way Ste K, Sacramento, CA 95825-1474 | 2018-03-19 |
| 1861600793 | Gerrett Hendrik Stenken | Psychologist | 2008 Morse Ave, Kaiser Permanente, Dept. of Psychiatry, Sacramento, CA 95825-2135 | 2007-05-21 |
| 1871700310 | Nancy Gregory | Psychologist | 418 Alhambra Blvd, Building A, Sacramento, CA 95816 | 2007-05-16 |
| 1710037635 | Michael A Dougherty | Psychologist | 1507 21st St, Sacramento, CA 95814-5220 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95818 |
Please comment or provide details below to improve the information on CHARLES ODIPO.
| 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.