Jennifer Olivetti, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018237 Issued in PA

Practice address

5015 E Trindle Rd
Mechanicsburg, PA 17050-3622

Phone

(717) 712-8452

NPI assigned

Jan 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rippleffects. LLC

  • Psychologist
  • Mechanicsburg, PA
  • NPI 1033819719
  NPD Authorized official
• Dr. Mary Berge and Associates, LLC

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1063783678
  NPD (past)
• Psychiatric Psychological & Therapeutic

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1750398715
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1154711380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503622",
            "telephone_number": "717-712-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503622",
            "telephone_number": "717-712-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3461 Market St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114412",
            "country_code": "US",
            "telephone_number": "717-712-8452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1765 Goucher St",
            "address_2": "STE 150",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159051101",
            "country_code": "US",
            "telephone_number": "814-535-8586",
            "fax_number": "814-254-4170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5521 Carlisle Pike, Ste B",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170502419",
            "country_code": "US",
            "telephone_number": "717-712-8452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVETTI",
        "first_name": "JENNIFER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PSO12801639",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Okurowski
• Old Roswell Holdings LLC
• Old Roswell Holdings LLC
• Seema Oli, MD
• Olivetti Chiropractic Inc
• Joseph Michael Olivetti, DDS MAGD
• Ashley Olivo
• Susan Olivo
• Ashley S Olsen
• Devin G Olsen, DO

• Psychologist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.