NPIMap

Organization Active NPI

Dba Scott R. Olson

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1083954788
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DBA SCOTT R. OLSON
Practice address
500 Cummings Center Suite 5350
North Shore Psychiatry Center
Beverly, MA 01915
Phone
(978) 922-8600
Fax
(978) 922-8601
NPI assigned
Feb 18, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Scott Ronald Olson, LMHCNPI 1457505174
Title
Clinician
Phone
(781) 249-8654

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

500 Cummings Center Suite 5350
North Shore Psychiatry Center
Beverly, MA 01915

Mailing address

34 Rantoul St
Unit 2
Beverly, MA 01915-5006
Phone (978) 969-2785

National Provider Directory

National Provider Directory

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": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1083954788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 RANTOUL ST",
            "address_2": "UNIT 2",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155006",
            "telephone_number": "978-969-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CENTER SUITE 5350",
            "address_2": "NORTH SHORE PSYCHIATRY CENTER",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-922-8600",
            "fax_number": "978-922-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBA SCOTT R. OLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "781-249-8654",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.