Individual provider Active NPI

Rhoda Joyce Olkin, PH.D.

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1366509838
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PSY8053 Issued in CA
Practice address
3000 Citrus Cir
Suite 120
Walnut Creek, CA 94598-2663
Phone
(925) 939-1332
Fax
(925) 944-1859
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PSY8053 CA Primary

Addresses

Primary practice location

3000 Citrus Cir
Suite 120
Walnut Creek, CA 94598-2663

Mailing address

3000 Citrus Circle
Suite 120
Walnut Creek, CA 94598-2694
Phone (925) 939-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY8053CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366509838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CITRUS CIRCLE",
            "address_2": "SUITE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982694",
            "telephone_number": "925-939-1332",
            "fax_number": "925-944-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CITRUS CIR",
            "address_2": "SUITE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982663",
            "telephone_number": "925-939-1332",
            "fax_number": "925-944-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLKIN",
        "first_name": "RHODA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PSY8053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.