Individual provider Active NPI

Katie Olbinski, PSY.D.

  • Clinical Psychologist
  • Green Bay, WI
National Provider Identifier
1285993386
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2895-057 Issued in WI
Practice address
130 E Walnut St
Bellin Building, 7TH Floor
Green Bay, WI 54301-4239
Phone
(920) 437-8256
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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 2895-057 WI Primary

Addresses

Primary practice location

130 E Walnut St
Bellin Building, 7TH Floor
Green Bay, WI 54301-4239

Mailing address

130 E Walnut St
Suite 706
Green Bay, WI 54301-4239
Phone (920) 437-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20120710000383 WI Practitioner - Clinical Psychologist 9830354208

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2895-057WIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1285993386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E WALNUT ST",
            "address_2": "SUITE 706",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014239",
            "telephone_number": "920-437-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E WALNUT ST",
            "address_2": "BELLIN BUILDING, 7TH FLOOR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014239",
            "telephone_number": "920-437-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBINSKI",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2895-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.