Olive & Oak Psychology Center PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OLIVE & OAK PSYCHOLOGY CENTER PLLC

Practice address

1219 N 5TH St
Stroudsburg, PA 18360-2646

Phone

(570) 656-7129

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Ashley Gilbert, PSY.DNPI 1205589249

Title

Founder and Clinical Psychologist

Phone

(570) 560-6096

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Gilbert

  • Clinical Psychologist
  • Downingtown, PA
  • NPI 1205589249

  Clinical

  NPD (past) Authorized official
• Kellyann Cameron, LCSW

  • Mental Health Counselor
  • Stroudsburg, PA
  • NPI 1811869050
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1649901547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N 5TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602646",
            "telephone_number": "570-560-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N 5TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602646",
            "telephone_number": "570-656-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE & OAK PSYCHOLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-12-27",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "FOUNDER AND CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-560-6096",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northbound & Co
• Alexander Leigh Nourse, D.O., M.B.A., M.S.
• Allison Novak, MSN, CRNP, WHNP-BC
• Pete Kwabena Obeng, MD
• Yardley Marie Oley, PA-C
• Brian Olzinski, OD
• Shobin Oommen, M.D.
• Chasety Orner, MA, ATR-BC, LPC
• Jacqueline Ortiz
• Sean C Ott, VMD

• All providers in Stroudsburg, PA
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.