Bradley W. Olson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

3375 N Arlington Heights Rd
Suite F
Arlington Heights, IL 60004-7701

Phone

(847) 577-4530

Fax

(847) 577-4306

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Arlington Counseling Associates, LTD

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1437243094
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366595282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE F",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-577-4530",
            "fax_number": "847-577-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE F",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-577-4530",
            "fax_number": "847-577-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "BRADLEY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER",
            "identifier": "1437243094",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olatunji Chiropractic Corp
• Victor M Olavarria Jr., CRNA
• Lisa Erin Oleksak
• Tracy A Olender, LCPC
• Miya Sophia Momoka Oliver, MD
• Carl James Olson
• Cristina Olson
• Kristin Olson, O.T.
• Samantha Olson
• Nataliya Omelchenko, APN-CNP

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• 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.