Madison Elizabeth Olsen, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024428-01 Issued in NY

Practice address

586 Commerce St
Thornwood, NY 10594-1355

Phone

(914) 984-8447

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mount Pleasant Psychological Services for Children, PLLC

  • Clinical Child & Adolescent Psychologist
  • Thornwood, NY
  • NPI 1679276059
  NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1174290449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941355",
            "telephone_number": "914-984-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941355",
            "telephone_number": "914-984-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MADISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024428-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Shaji Mundackal, R.N
• Rosalie Murray
• Elvira Mussolini
• Bushra Nasim, M.S.E.D
• Thomas Gabriel Newman Jr., M.D.
• Omnia Mental Health Counseling PLLC
• Optical Illusions, Inc.
• Optum Medical Care, P.C.
• Jane S Park
• Joy Pellegrino

• Psychologist in Thornwood, NY
• Providers in Thornwood, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.