Olson Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008509 Issued in MI

Legal business name

OLSON PSYCHOLOGICAL SERVICES, PC

Practice address

220 W Washington St
Suite 420
Marquette, MI 49855-4359

Phone

(906) 225-5462

Fax

(906) 225-5462

NPI assigned

Jan 3, 2011

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Lloyd OlsonNPI 1790708881

Title

Owner

Phone

(906) 225-5462

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph Lloyd Olson Jr., PH.D.

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1790708881
  Medicare reassignment NPD Authorized official
• Marin Olson, PHD

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1053205260
  NPD

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1326342502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST",
            "address_2": "SUITE 420",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554359",
            "telephone_number": "906-225-5462",
            "fax_number": "906-225-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST",
            "address_2": "SUITE 420",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554359",
            "telephone_number": "906-225-5462",
            "fax_number": "906-225-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-225-5462"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ohman
• Cora Ohnstad, MS, AT, ATC
• Lindsey Ann Olesak, OD
• Olesnavage Psychological Services PC
• Shelle Marie Olsen, RN
• Allan L Olson, DO
• Deanna Olson
• Marin Olson, PHD
• Ralph Lloyd Olson Jr., PH.D.
• Christopher Omerza, M.D.

• Clinical Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.