Active NPI
Christine Michelle Gorshe-Olsen, BCBA
- Behavior Analyst
- Arcata, CA
National Provider Identifier
1669917076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-1624954
- Practice address
- 901 O St Ste C
Arcata, CA 95521-5789 - Phone
- (707) 826-0872
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-1624954 | CA | Primary |
Addresses
Primary practice location
901 O St Ste C
Arcata, CA 95521-5789
Mailing address
1902 C Ave
McKinleyville, CA 95519-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-1624954 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1669917076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 C AVE",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955194010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 O ST STE C",
"city": "ARCATA",
"state": "CA",
"postal_code": "955215789",
"telephone_number": "707-826-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORSHE-OLSEN",
"first_name": "CHRISTINE",
"middle_name": "MICHELLE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-1624954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.