Active NPI
Elizabeth Ollen, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1508346883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31077
- Practice address
- 1849 Sawtelle Blvd Ste 740
Los Angeles, CA 90025-7082 - Phone
- (424) 442-0112
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY31077 | CA | |
| Clinical Psychologist | 103TC0700X | PSY31077 | CA | Primary |
Addresses
Primary practice location
1849 Sawtelle Blvd Ste 740
Los Angeles, CA 90025-7082
Mailing address
1849 Sawtelle Blvd Ste 740
Los Angeles, CA 90025-7082
Phone (424) 442-0112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31077 | CA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Clinical | Current | Accepting new patients |
Locations
300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1508346883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 SAWTELLE BLVD STE 740",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257082",
"telephone_number": "424-442-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 SAWTELLE BLVD STE 740",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257082",
"telephone_number": "424-442-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLEN",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2025-01-28",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY31077",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.