Individual provider Active NPI

Laura Miranda Olivera, PSYD, BCBA

  • Clinical Psychologist
  • Broomfield, CO
National Provider Identifier
1003414855
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY0007007 Issued in CO
Practice address
320 E 1St Ave Ste 101
Broomfield, CO 80020-3786
Phone
(720) 259-5500
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 36536 CA
Clinical Psychologist 103TC0700X PSY0007007 CO Primary
Behavior Analyst 103K00000X 004593-01 NY

Addresses

Primary practice location

320 E 1St Ave Ste 101
Broomfield, CO 80020-3786

Mailing address

320 E 1St Ave Ste 101
Broomfield, CO 80020-3786
Phone (720) 259-5500

Other practice location 1

2131 Ashton Ave
Menlo Park, CA 94025-6501
Phone (650) 260-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004593-01NYMDBehavioral Analyst
PSY0007007COMDClinical Psychologist
36536CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jigsaw Diagnostics New Jersey PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1003414855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 1ST AVE STE 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203786",
            "telephone_number": "720-259-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 1ST AVE STE 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203786",
            "telephone_number": "720-259-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 Ashton Ave",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940256501",
            "country_code": "US",
            "telephone_number": "650-260-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA OLIVERA",
        "first_name": "LAURA",
        "credential": "PSYD, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "36536",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY0007007",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004593-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.