Organization Active NPI

Pamela Phillips Olson, MSW LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
National Provider Identifier
1063718815
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2122123 Issued in WI
Legal business name
PAMELA PHILLIPS OLSON, MSW LTD
Practice address
715 Hill St
Suite 200
Madison, WI 53705-3576
Phone
(608) 233-7431
Fax
(608) 647-8162
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Ms. Pamela Phillips Olson, MSW, LCSW
Title
Owner
Phone
(608) 233-7431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2122123 WI Primary

Addresses

Primary practice location

715 Hill St
Suite 200
Madison, WI 53705-3576

Mailing address

18549 County Hwy a
Richland Center, WI 53581-8662
Phone (608) 647-8220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1063718815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18549 COUNTY HWY A",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535818662",
            "telephone_number": "608-647-8220",
            "fax_number": "608-647-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053576",
            "telephone_number": "608-233-7431",
            "fax_number": "608-647-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA PHILLIPS OLSON, MSW LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS OLSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-233-7431",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "2122123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.