Kimberly Lynn Olson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY33664 Issued in CA

Practice address

1841 E Main St
Barstow, CA 92311-3234

Phone

(760) 255-5700

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kimberly Lynn Olson Other name

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1306906755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113234",
            "telephone_number": "760-255-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113234",
            "telephone_number": "760-255-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kolson@dbh.sbcounty.gov",
            "affiliation": "Y",
            "endpointDescription": "secured email",
            "affiliationName": "SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1841 E Main St",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923113234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kolson@dbh.sbcounty.gov",
            "affiliation": "Y",
            "endpointDescription": "secure server",
            "affiliationName": "SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "7602555700",
            "address_1": "1841 E Main St",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923113234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kolson@dbh.sbcounty.gov",
            "affiliation": "Y",
            "endpointDescription": "secure server",
            "affiliationName": "SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "7602555700",
            "address_1": "1841 E Main St",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923113234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kolson@dbh.sbcounty.gov",
            "affiliation": "Y",
            "endpointDescription": "secured email",
            "affiliationName": "SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1841 E Main St",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923113234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "OLSON",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Eric Olafsen, D.D.S.
• Alberta Cataag Olegario, MD
• Sara Olivas Gradias, QASP-S
• Rose Olsen
• Crystal Olson
• Jorge Olvera
• Tyanna Olvera
• Omar Shahbaz MD
• Christine M Onderick
• Amanda Oortega

• Clinical Psychologist in Barstow, CA
• Providers in Barstow, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.