Individual provider Active NPI

Jamie Brynn Oliver, PHD, NCSP

  • Psychologist
  • Durham, NC
National Provider Identifier
1619790995
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7110 Issued in NC
Practice address
2530 Meridian Pkwy Ste 115
Durham, NC 27713-5273
Phone
(704) 360-3637
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10316408 IN
Psychologist 103T00000X 7110 NC Primary

Addresses

Primary practice location

2530 Meridian Pkwy Ste 115
Durham, NC 27713-5273

Mailing address

315 E North Dr
Bloomington, IN 47401-6595
Phone (812) 330-7745

Other practice location 1

315 E North Dr
Bloomington, IN 47401-6595
Phone (812) 330-7745 ext. 52004

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10316408INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Psychologist PastSince Nov 9, 2022 Accepting new patients
Monroe County Community School Corporation PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 2

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1619790995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E NORTH DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016595",
            "telephone_number": "812-330-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY STE 115",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135273",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E North Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474016595",
            "country_code": "US",
            "telephone_number": "812-330-7745 x52004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JAMIE",
        "middle_name": "BRYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10316408",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "7110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.