Active NPI
Adam Olives, BCBA
- Behavior Analyst
- Citrus Heights, CA
National Provider Identifier
1235486168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7493
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1107493 | CA | |
| Behavior Analyst | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1107493 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Behavior Analyst
- Citrus Heights, CA
- NPI 1124596390
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.