Olas Psychology PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OLAS PSYCHOLOGY PLLC

Practice address

1828 Jefferson St NE
Minneapolis, MN 55418-4427

Phone

(787) 381-1055

NPI assigned

Aug 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Marie A Diaz, LP

Title

Clinical Psychologist

Phone

(787) 381-1055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie A Diaz Varona, PSYD, LP

  • Clinical Psychologist
  • Maple Grove, MN
  • NPI 1720611148
  Medicare reassignment NPD

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1346074465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 JEFFERSON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184427",
            "telephone_number": "787-381-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 JEFFERSON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184427",
            "telephone_number": "787-381-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAS PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-381-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolu Okuneye
• Kolawole Stephen Okuyemi, MD
• Farah Olad
• Akinkunmi O Oladiran, M.D.
• Magartu Olana
• Jamie Olberding
• Sydney Olberg, CD
• Virgeana Olberg X, RN
• Kelley Oldenburg
• Kirsi Oldenburg

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.