Jacqueline S Odom, PHD - Psychologist in Royal Oak, MI

Jacqueline S Odom, PHD is a Psychologist - Clinical based in Royal Oak, Michigan. Jacqueline S Odom is licensed to practice in Michigan (license number JO010213) and her current practice location is 4949 Coolidge Hwy, Royal Oak, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 655-5900.

NPI number for Jacqueline S Odom is 1881763464 and her current mailing address is 6250 Gilbert Lake Rd, Bloomfield Hills, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881763464.

Contact Information

Jacqueline S Odom, PHD
4949 Coolidge Hwy,
Royal Oak, MI 48073-1026
(248) 655-5900
(248) 655-5901

Map and Direction




Healthcare Provider's Profile

Full NameJacqueline S Odom
GenderFemale
SpecialityPsychologist - Clinical
Location4949 Coolidge Hwy, Royal Oak, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881763464
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jacqueline S Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881763464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical JO010213 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline S Odom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline S Odom, PHD
6250 Gilbert Lake Rd,
Bloomfield Hills, MI 48301-1926

Ph: (248) 645-1231
Jacqueline S Odom, PHD
4949 Coolidge Hwy,
Royal Oak, MI 48073-1026

Ph: (248) 655-5900

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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