Gregg H Olsen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33483 Issued in CO

Practice address

1919 14TH St
Suite 711
Boulder, CO 80302-5310

Phone

(303) 443-7600

Fax

(303) 402-0292

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366563389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 14TH ST",
            "address_2": "SUITE 711",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025310",
            "telephone_number": "303-443-7600",
            "fax_number": "303-402-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 14TH ST",
            "address_2": "SUITE 711",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025310",
            "telephone_number": "303-443-7600",
            "fax_number": "303-402-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "GREGG",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "33483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine E Oleary, PT
• Cheryl Ann Olin
• Tania Olivares
• Susan Jane Oliver, M.D.
• Molly Olk
• Margaret Anne Olsen, LPCC
• Maryna Olsen, RN, BSN
• Beth Olson, PA-C
• Elizabeth Olson, PSY.D., LCSW
• Jaret Olson

• Psychiatry Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatry Physician in Colorado

• 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.