Active NPI
Pamela N Olsson, MD
- Psychiatry Physician
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9351
- Practice address
- 7 Prospect St.
Nashua, NH 03060-4490 - Phone
- (603) 889-6147
- Fax
- (603) 883-1568
- NPI assigned
- Jul 11, 2006
- Last updated
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9351 | NH | Primary |
| Psychiatry Physician | 2084P0800X | J1473 | TX |
Addresses
Primary practice location
7 Prospect St.
Nashua, NH 03060-4490
Mailing address
59 Windsor CT.
Keene, NH 03431-1733
Phone (603) 313-9943
Other names 1
- Pamela Nicholson Broussard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9351 | NH | MD | Psychiatry Physician |
| J1473 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Psychiatry | Current | Accepting new patients |
| Health and Human Services Commission | Psychiatry | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients |
Locations
2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053
4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327
11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312
11640 US Highway 87 N
#6023
Carlsbad, TX 76934
805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rio Grande State Center
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
Psychiatry
-
- Intellectual Disabilities Intermediate Care Facility
- Carlsbad, TX
- NPI 1346333945
Psychiatry
-
dba Big Spring State Hospital
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1093740037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 WINDSOR CT.",
"city": "KEENE",
"state": "NH",
"postal_code": "034311733",
"telephone_number": "603-313-9943",
"fax_number": "603-924-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PROSPECT ST.",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604490",
"telephone_number": "603-889-6147",
"fax_number": "603-883-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSSON",
"first_name": "PAMELA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "9351",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J1473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "BROUSSARD",
"middle_name": "NICHOLSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashua, NH
- James Olsen
- Andrea Olson, BA
- Krystle Olson
- Perry Olson, BCBA
- Jennifer Olsson, BS
- Consolata Omingo, APRN
- Robert Francis Oot, M.D.
- Opt: Orthopedic Physical Therapy and Wellness Center, Inc.
- Optometric Providers of New Hampshire, PLLC
- Optum Behavioral Care of Delaware, Inc (Family Counseling Associates of New Hampshire)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.