Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carol Michelle Odom, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699358713

Carol Michelle Odom, PMHNP-BC is a Nurse Practitioner in Middletown, Connecticut. Qualified in 2020, 6 years ago. Practices with Community Health Center Inc, a 148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
6
Licensed in
CT, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

675 Main St
Middletown, CT 06457-2732
Phone: (860) 347-6971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8570 148th St, Briarwood, NY 11435-2832 — (718) 674-8000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9862 (CT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F403467 (NY)

Record details

NPI number1699358713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Center Inc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middletown