Individual provider Active NPI

Adam Olives, BCBA

  • Behavior Analyst
  • Citrus Heights, CA
National Provider Identifier
1235486168
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-7493 Issued in CA
Practice address
5750 Sunrise Blvd Ste 210B
Citrus Heights, CA 95610
Phone
(916) 794-2326
Fax
(916) 626-4682
NPI assigned
Aug 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1107493 CA
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-10-7493 CA Primary

Addresses

Primary practice location

5750 Sunrise Blvd Ste 210B
Citrus Heights, CA 95610

Mailing address

5750 Sunrise Blvd Ste 210B
Citrus Heights, CA 95610-7639
Phone (916) 794-2326

Other practice location 1

4832 Arbardee Dr
Fair Oaks, CA 95628-5404
Phone (916) 794-2326

Other practice location 2

4832 Arbardee Dr
Fair Oaks, CA 95628-5404
Phone (916) 794-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1107493CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Branch Autism Services Behavior Analyst Current Accepting new patients

Locations

5750 Sunrise Blvd
Ste 210B
Citrus Heights, CA 95610
Phone (916) 794-2326

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1235486168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 SUNRISE BLVD STE 210B",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107639",
            "telephone_number": "916-794-2326",
            "fax_number": "916-626-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 SUNRISE BLVD STE 210B",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-794-2326",
            "fax_number": "916-626-4682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4832 Arbardee Dr",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956285404",
            "country_code": "US",
            "telephone_number": "916-794-2326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4832 Arbardee Dr",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956285404",
            "country_code": "US",
            "telephone_number": "916-794-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVES",
        "first_name": "ADAM",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1107493",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-10-7493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.