Individual provider Active NPI

Pamela N Olsson, MD

  • Psychiatry Physician
  • Nashua, NH
National Provider Identifier
1093740037
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9351 Issued in NH
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001376 TX Practitioner - Psychiatry 3476586470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9351NHMDPsychiatry Physician
J1473TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry CurrentSince Jul 15, 2022 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Jul 15, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.