The Olive Tree Center for Child and Family Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9816 Issued in FL

Legal business name

THE OLIVE TREE CENTER FOR CHILD AND FAMILY PSYCHOLOGY, LLC

Practice address

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

Phone

(305) 792-8168

Fax

(305) 675-0689

NPI assigned

Jul 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Laura S Olivos, PSY.DNPI 1376943506

Title

President

Phone

(305) 792-8168

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura S Olivos, PSY. D.

  • Clinical Psychologist
  • Miami Beach, FL
  • NPI 1376943506
  NPD Authorized official

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1467974741",
    "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": "305-792-8168",
            "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": "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",
            "fax_number": "305-675-0689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE OLIVE TREE CENTER FOR CHILD AND FAMILY PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-09",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "OLIVOS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-792-8168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Tevel
• The Advanced PRP & Stem Cell Center of Boca Raton Inc
• The Agency Healthcare LLC
• The Answer LLC
• The Counseling Ministry of South Florida, Inc
• The Sands at South Beach Facility Inc
• The Sifre Center LLC
• The Wholesome Lotus
• Theodore J Mangru Arnp Inc
• Theragroup Inc

• 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.