Individual provider · Type 1 NPI
Carol Michelle Odom, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Middletown, CT
NPI number
1699358713
Active
Practice location
675 Main St
Middletown, CT 06457-2732
Other practice locations
- 719 2nd Ave # 1034, New York, NY 10016-2707 · (203) 701-7505
- 1204 Main St # 890, Branford, CT 06405-3787 · (203) 701-7505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403467 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9862 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699358713
Carol Michelle Odom, PMHNP-BC's National Provider Identifier is 1699358713, issued on May 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Middletown, CT. The record was last updated on Oct 12, 2026.