Provider Demographics
NPI:1386524569
Name:SODELL, KATHI
Entity type:Individual
Prefix:
First Name:KATHI
Middle Name:
Last Name:SODELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3054 GODWIN TER APT 23
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5382
Mailing Address - Country:US
Mailing Address - Phone:949-836-1862
Mailing Address - Fax:
Practice Address - Street 1:3054 GODWIN TER APT 23
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5382
Practice Address - Country:US
Practice Address - Phone:949-836-1862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health