Olson Psycare PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

060005987 Issued in IL

Legal business name

OLSON PSYCARE PC

Practice address

100 Village GRN
Ste 220
Lincolnshire, IL 60069-3094

Phone

(847) 415-5077

Fax

(847) 793-8892

NPI assigned

Sep 20, 2007

Last updated

Sep 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David R Olson, MD

Title

President

Phone

(847) 415-5077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Ann Olson, MD

  • Psychiatry Physician
  • Deerfield, IL
  • NPI 1245348952
  Medicare reassignment NPD
• Samuel Ephraim Goldman, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1407893159
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1548456833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN",
            "address_2": "STE 220",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693094",
            "telephone_number": "847-415-5077",
            "fax_number": "847-793-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN",
            "address_2": "STE 220",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693094",
            "telephone_number": "847-415-5077",
            "fax_number": "847-793-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON PSYCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-415-5077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "060005987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01619325",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noor and Grace Homecare LLC
• Alyssa Norbeck, LCSW
• Maureen Teresa O'Brien, MS, APRN, CNP
• Emily Allison Oehler, PA-C
• Olson Pain & Stress Management Associates Inc.
• One True North LLC
• Optimum Sports and Spinal Rehabilitation, LTD.
• Susanne Lello Osei, NCC
• Kristin Ann Ostergaard, NP
• Alexandria Paradis

• Psychiatry Physician in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.