Stephen W Olmsted, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LPO602 Issued in MN

Practice address

8 N 2ND Ave E
Ste 304
Duluth, MN 55802

Phone

(218) 722-1254

Fax

(218) 525-4703

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duluth Counseling Center

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1679815823
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588756779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N 2ND AVE E",
            "address_2": "STE 304",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-722-1254",
            "fax_number": "218-525-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N 2ND AVE E",
            "address_2": "STE 304",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-722-1254",
            "fax_number": "218-525-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTED",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LPO602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "746050L",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Jean Olds, FNP
• Sara Oliver
• Harrison Robert Olk, M.A., CCC-SLP
• Mari Olk
• Cynthia Katherine Olmsted, RN
• Donna Rose Olsen, LICSW
• Peter Thomas Olsen, M.D.
• Allie Nicole Olson
• Andrew J Olson, MD
• Brittney Olson

• Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Psychologist in Minnesota

• 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.