John M O'donnell, PHD - Psychologist in Glendale, WI

John M O'donnell, PHD is a Psychologist - Cognitive & Behavioral based in Glendale, Wisconsin. John M O'donnell is licensed to practice in Wisconsin (license number 561-057) and his current practice location is 5225 N Ironwood Ln, Suite # 212, Glendale, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 962-1000.

NPI number for John M O'donnell is 1962462093 and his current mailing address is 2121 Lofty Ln, Saukville, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962462093.

Contact Information

John M O'donnell, PHD
5225 N Ironwood Ln, Suite # 212,
Glendale, WI 53217-4909
(414) 962-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJohn M O'donnell
GenderMale
SpecialityPsychologist - Cognitive & Behavioral
Location5225 N Ironwood Ln, Glendale, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962462093
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for John M O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962462093NPI-NPPES
39055600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 561-057 (Wisconsin)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. John M O'donnell 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
John M O'donnell, PHD
2121 Lofty Ln,
Saukville, WI 53080-2300

Ph: (262) 375-8653
John M O'donnell, PHD
5225 N Ironwood Ln, Suite # 212,
Glendale, WI 53217-4909

Ph: (414) 962-1000

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