Scott Olson, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A46147 Issued in CA

Practice address

2 Fifer Ave # 2
Corte Madera, CA 94925-1134

Phone

(415) 927-6695

Fax

(415) 927-2179

NPI assigned

May 10, 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407060080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251174",
            "telephone_number": "415-927-6695",
            "fax_number": "415-927-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE # 2",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251134",
            "telephone_number": "415-927-6695",
            "fax_number": "415-927-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A46147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Margaret O'Hare, MD
• Robin C O'Heeron, PH.D
• John Eugene Obedzinski, MD
• Leeanne Obilor
• Darcy Oikawa, D.C.
• Alfred David Oppenheim, M.D.
• Optimal DME Inc
• Greg Orcutt
• Marilyn Orlova-Zitzer IV, FNP, CRNFA
• Pacific Surgery Center

• Child & Adolescent Psychiatry Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• 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.