Vivian F. Olsen, ED.D.
Individual provider Active NPI Psychologist · Demarest, NJ
NPI 1215044136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215044136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- SI02818 (NJ)
- Practice address
- 14 Pine Hill Rd
Demarest
Demarest, NJ 07627-1309 - Phone
- (201) 767-1736
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI02818 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicola Weiss, PH.D., LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SI02818 | NJ | Yes |
Addresses
Primary practice location
14 Pine Hill Rd
Demarest
Demarest, NJ 07627-1309
Mailing address
14 Pine Hill Rd
Demarest
Demarest, NJ 07627-1309
Phone (201) 767-1736
Other providers in Demarest, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.