Individual provider Active NPI

Devin Smith Olio, MASTER PSYCHOGOLY

  • Clinical Psychologist
  • Chico, CA
National Provider Identifier
1245637263
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35364 Issued in CA
Practice address
11 Williamsburg LN Ste B
Chico, CA 95926-2225
Phone
(530) 708-1625
NPI assigned
Nov 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY35364 CA Primary

Addresses

Primary practice location

11 Williamsburg LN Ste B
Chico, CA 95926-2225

Mailing address

11 Williamsburg LN Ste B
Chico, CA 95926-2225
Phone (530) 708-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35364CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Clinic Current Accepting new patients
Emic Psychological Services, Inc. Clinical CurrentSince Nov 10, 2024 Accepting new patients

Locations

11 Williamsburg Ln
#B
Chico, CA 95926
Phone (530) 345-5055

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

Organizations & group practices 2

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1245637263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILLIAMSBURG LN STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262225",
            "telephone_number": "530-708-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WILLIAMSBURG LN STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262225",
            "telephone_number": "530-708-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIO",
        "first_name": "DEVIN",
        "middle_name": "SMITH",
        "name_prefix": "Mr.",
        "credential": "MASTER PSYCHOGOLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.