Kathryn Olson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25951 Issued in CA

Practice address

5405 Morehouse Dr Ste 330
San Diego, CA 92121-4786

Phone

(858) 284-1550

Fax

(858) 284-1660

NPI assigned

Aug 24, 2011

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Niemeier MD Apc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1275177271
  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1235419029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 BALBOA AVE # 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175504",
            "telephone_number": "619-719-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MOREHOUSE DR STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214786",
            "telephone_number": "858-284-1550",
            "fax_number": "858-284-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 S Cedros Ave",
            "address_2": "#322",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "92075",
            "country_code": "US",
            "telephone_number": "619-719-1348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "674 Via De La Valle Ste 114",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "920753405",
            "country_code": "US",
            "telephone_number": "619-719-1348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13130 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914016037",
            "country_code": "US",
            "telephone_number": "877-943-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATHRYN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapyappointment.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant software for patient charting and provider messaging",
            "address_1": "4231 Balboa Ave # 211",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921175504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• G. Keith Olson, PH.D.
• Gregory James Olson
• Janice L Olson, NP FAMILY
• Jeanne L Olson, PA
• Kaitlen Alexis Olson, P.T.
• Kevin W. Olson, M.D.
• Lisa Ann Olson, RN, MN
• Mandy Maria Olson, DMD
• Margrit Olson
• Melinda Olson, AMFT

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.