Olivia Carollo, PSYD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009421 Issued in IL

Legal business name

OLIVIA CAROLLO, PSYD, PLLC

Practice address

4527 N Ravenswood Ave Unit 105
Chicago, IL 60640-5201

Phone

(312) 764-1244

Fax

(312) 586-8089

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Olivia Lynn Carollo, PSYDNPI 1679017735

Title

Manager

Phone

(727) 480-9038

Specialties & licenses 1

Addresses

Other names 1

• Dr. Olivia Carollo, LTD Former legal business name

Locations

Practitioners 1

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.

• Olivia Lynn Carollo, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1679017735
  NPD Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1649780578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 N CLAREMONT AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251909",
            "telephone_number": "727-480-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N RAVENSWOOD AVE UNIT 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405201",
            "telephone_number": "312-764-1244",
            "fax_number": "312-586-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 N Claremont Ave Unit 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606251909",
            "country_code": "US",
            "telephone_number": "727-480-9038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVIA CAROLLO, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "CAROLLO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-480-9038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Olivia Carollo, LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Arturo Olivera Jr., MD
• Lauren Oliveri, PHARMD
• Jamie Lee Olivero, PA-C
• Omar Alberto Oliveros, M.D.
• Olivia Buckley LCSW PLLC
• Olivia Chavez, PLLC
• Olivia Lares DDS PC
• Aliyah A Olivier, LPC
• Daniel John Olivieri, MD
• Maggie Bernadette Olivieri, LCSW

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.