Organization Active NPI

Kevin S Olin PLLC

  • Clinical Psychologist
  • Tempe, AZ
National Provider Identifier
1205697034
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KEVIN S OLIN PLLC
Practice address
6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717
Phone
(480) 345-9888
Fax
(480) 739-9065
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Kevin S Olin, PHDNPI 1043293632
Title
Owner
Phone
(480) 720-7488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717

Mailing address

6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717
Phone (480) 345-9888

National Provider Directory

National Provider Directory

Locations

2266 S Dobson Rd
Ste 240
Mesa, AZ 85202
Phone (480) 313-9561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1205697034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-345-9888",
            "fax_number": "480-739-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-345-9888",
            "fax_number": "480-739-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S OLIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "OLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-720-7488",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.