Mr Keith Michael O'donnell, LMFT, APRN is a
Marriage & Family Therapist based in Trumbull, Connecticut. Mr Keith Michael O'donnell is licensed to practice in Connecticut (license number 1455) and his current practice location is
88 Ridgeview Ave, Trumbull, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 520-6111.
NPI number for Mr Keith Michael O'donnell is 1679733554 and his current mailing address is 88 Ridgeview Ave, Trumbull, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679733554.
Provider's Profile
| Full Name | Mr Keith Michael O'donnell |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 88 Ridgeview Ave, Trumbull, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679733554
- Provider Enumeration Date: 06/13/2008
- Last Update Date: 12/24/2025
Medical Identifiers
Medical identifiers for Mr Keith Michael O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679733554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 16107 (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1455 (Connecticut) | 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. Mr Keith Michael 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 Address | Practice Location Address |
Mr Keith Michael O'donnell, LMFT, APRN 88 Ridgeview Ave, Trumbull, CT 06611-1937 Ph: (203) 520-6111 | Mr Keith Michael O'donnell, LMFT, APRN 88 Ridgeview Ave, Trumbull, CT 06611-1937 Ph: (203) 520-6111 |
Reviews and Comments