Individual provider Active NPI

William Oliva, M.D.

  • Child & Adolescent Psychiatry Physician
  • Spencer, OK
National Provider Identifier
1356781199
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
32105 Issued in OK
Practice address
2601 Spencer Rd
Spencer, OK 73084-3649
Phone
(405) 427-2441
Fax
(405) 427-4741
NPI assigned
Jun 25, 2013
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036139372 IL
Child & Adolescent Psychiatry Physician 2084P0804X 32105 OK Primary

Addresses

Primary practice location

2601 Spencer Rd
Spencer, OK 73084-3649

Mailing address

13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046
Phone (405) 451-3454

Other practice location 1

13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046
Phone (405) 451-3454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028000688 OK Practitioner - Psychiatry 5991025850 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Springs Physician Group LLCGroup PAC ID 1658658026, 16 clinicians
Olive Branch PsychiatryGroup PAC ID 0042598567, 4 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

13101 Memorial Springs CT
Oklahoma City, OK 73114-2226
Phone (405) 438-3000

13821 Technology Dr
Suite B
Oklahoma City, OK 73134-1046
Phone (405) 451-3454

2601 Spencer Rd
Spencer, OK 73084-3649
Phone (405) 427-2441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036139372ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Oklahoma City LLC Psychiatry CurrentSince May 15, 2021 Accepting new patients
Oakwood Springs Physician Group LLC Psychiatry CurrentSince Jul 26, 2017 Accepting new patients
Olive Branch Psychiatry Child & Adolescent Psychiatry CurrentSince Oct 30, 2016 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jul 1, 2017 Accepting new patients
Uhs Oklahoma City LLC Past Accepting new patients
Oakwood Springs, LLC PastSince Jul 26, 2017 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

7600 NW 23rd St
Bethany, OK 73008
Phone (405) 604-4380

13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000

13821 Technology Dr
Ste B
Oklahoma City, OK 73134
Phone (405) 451-3454

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

6501 NE 50th St
Oklahoma City, OK 73141
Phone (405) 605-5111

2601 Spencer Rd
Spencer, OK 73084
Phone (405) 427-2441

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1356781199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 TECHNOLOGY DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341046",
            "telephone_number": "405-451-3454",
            "fax_number": "405-427-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SPENCER RD",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730843649",
            "telephone_number": "405-427-2441",
            "fax_number": "405-427-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13821 Technology Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731341046",
            "country_code": "US",
            "telephone_number": "405-451-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036139372",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "32105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, OK

Sources for this page

Verify at the official NPI Registry.