Organization Active NPI

Olive Tree Family Services LLC

Doing business as Olive Tree Family Services

  • Peer Specialist
  • Williamsville, NY
National Provider Identifier
1083438642
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
OLIVE TREE FAMILY SERVICES LLC
Doing business as
Olive Tree Family Services
Practice address
5959 Main St
Williamsville, NY 14221-5717
Phone
(716) 332-1637
Fax
(716) 931-5855
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Jessica RabbNPI 1538848791
Title
Supervisior
Phone
(716) 462-0392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

5959 Main St
Williamsville, NY 14221-5717

Mailing address

5959 Main St
Williamsville, NY 14221-5717
Phone (716) 332-1637

Other names 1

  • Olive Tree Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

5959 Main St
Williamsville, NY 14221
Phone (716) 332-1637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1083438642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215717",
            "telephone_number": "716-332-1637",
            "fax_number": "716-931-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215717",
            "telephone_number": "716-332-1637",
            "fax_number": "716-931-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "RABB",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SUPERVISIOR",
        "authorized_official_telephone_number": "716-462-0392"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Tree Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.