Olitzky Pediatric Psychological Services LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LP5511 Issued in MN

Legal business name

OLITZKY PEDIATRIC PSYCHOLOGICAL SERVICES LLC

Practice address

4700 Park Glen Rd
St Louis Park, MN 55416-5701

Phone

(917) 575-7985

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Littman Olitzky, PHD, LP, NCSP

Title

Psychologist/Owner

Phone

(917) 575-7985

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1144604950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 QUENTIN CT",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161900",
            "telephone_number": "917-575-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165701",
            "telephone_number": "917-575-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLITZKY PEDIATRIC PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "OLITZKY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LITTMAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "917-575-7985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP, NCSP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP5511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kene Ogbogu, MD
• Jacob Ohman
• Resley Okioma, APRN, CNP
• Ngozika Okoye, MD
• Claes Erik Michael Oldenburg, MD
• Deborah Olkon
• Christina Johanna Olownia
• Katie M Olsen
• Kristin J Olsen, PHARMD
• Marie Casey Olseth, M.D.

• Clinical Child & Adolescent Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.