Sophia Odeh, is a medicare enrolled "Clinical Neuropsychologist" provider in Boston, Massachusetts. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 355-6000.
Sophia Odeh is licensed to practice in Massachusetts (license number PSY5000192) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1861046989.
Healthcare Provider's Profile
| Full Name | Sophia Odeh |
|---|
| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 300 Longwood Ave, Boston, Massachusetts |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sophia Odeh graduated from medical school in 2020
NPI Data:
- NPI Number: 1861046989
- Provider Enumeration Date: 07/26/2019
- Last Update Date: 04/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 5496224263
- Enrollment ID: I20260521000973
Medical Identifiers
Medical identifiers for Sophia Odeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861046989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY5000192 (Massachusetts) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY5000192 (Massachusetts) | 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. Sophia Odeh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sophia Odeh, 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Sophia Odeh, 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
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