Laura S Olivos, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9816 Issued in FL

Practice address

975 Arthur Godfrey Rd Ste 303
Miami Beach, FL 33140-3342

Phone

(305) 792-8168

Fax

(305) 675-0689

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Locations

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.

• The Olive Tree Center for Child and Family Psychology, LLC

  • Clinical Psychologist
  • Miami Beach, FL
  • NPI 1467974741
  NPD Authorized official

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1376943506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 ABBOTT AVE APT 12",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331411658",
            "telephone_number": "772-240-9599",
            "fax_number": "305-675-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD STE 303",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403342",
            "telephone_number": "305-792-8168",
            "fax_number": "305-675-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2336 SE Ocean Blvd # 124",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963310",
            "country_code": "US",
            "telephone_number": "772-240-9599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349845181",
            "country_code": "US",
            "telephone_number": "786-447-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVOS",
        "first_name": "LAURA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9816",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021870400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Olaechea Lozano
• Maribel Oliva Rodriguez
• Aline D. Oliveira, LMT
• Olivera Jovic DPM PA
• Carly Oliveri, PA-C
• Erika Braga Olmedo, M.S., CCC-SLP
• Eva Olmo Olmo, RPH
• Vivian Olti Weissbrun, M.D.
• Olupona Foot and Ankle, LLC
• Yumna Khan Omarzai, M.D.

• Clinical Psychologist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.