Carole Cruse-Olivieri, PSY.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PPS-0600056 Issued in VA

Practice address

15301 Lee Hwy
Centreville, VA 20121-2126

Phone

(703) 456-2222

NPI assigned

Mar 2, 2018

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1669974978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43417 EDGEWATER ST",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201521751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 LEE HWY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212126",
            "telephone_number": "703-456-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE-OLIVIERI",
        "first_name": "CAROLE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PPS-0600056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF PSYCHOLOGY",
            "identifier": "0813000532",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VA PUPIL PERSONNEL SERVICES LICENSE",
            "identifier": "PPS-0600056",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Centreville, VA
• Providers in Centreville, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.