Craig D. Olson, Psy.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4487 Issued in OH

Legal business name

CRAIG D. OLSON, PSY.D.

Practice address

7071 Corporate Way
Suite 106
Centerville, OH 45459-8911

Phone

(937) 890-9804

Fax

(937) 293-3884

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Andie Gates

Title

Credentialing Specialist

Phone

(937) 609-7830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1295923795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454193933",
            "telephone_number": "937-890-9804",
            "fax_number": "937-293-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 CORPORATE WAY",
            "address_2": "SUITE 106",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454598911",
            "telephone_number": "937-890-9804",
            "fax_number": "937-293-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG D. OLSON, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "ANDIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "937-609-7830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mason Coyle
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• CRN Healthcare, Inc.
• CRN Healthcare, Inc.
• Makenzie Crone
• Yolanda M Crooms
• Erik Lee Crouch, LDO

• Clinical Psychologist in Centerville, OH
• Providers in Centerville, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.