Individual provider Active NPI

Lynnette Olnhausen, ED.S.

  • School Psychologist
  • Archbold, OH
National Provider Identifier
1013330612
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20915129 Issued in OH
Practice address
205 Nolan Pkwy
Archbold, OH 43502-8404
Phone
(567) 444-4800
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 20915129 OH Primary

Addresses

Primary practice location

205 Nolan Pkwy
Archbold, OH 43502-8404

Mailing address

720 Annabelle Dr
Toledo, OH 43612-2402
Phone (419) 826-3045

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
20915129OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1013330612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ANNABELLE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122402",
            "telephone_number": "419-826-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NOLAN PKWY",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435028404",
            "telephone_number": "567-444-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLNHAUSEN",
        "first_name": "LYNNETTE",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "20915129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.