Organization Active NPI

Jessica Byrd-Olmstead, PH.D., Inc.

  • Group Psychotherapy Psychologist
  • Pacific Grove, CA
National Provider Identifier
1679374540
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
JESSICA BYRD-OLMSTEAD, PH.D., INC.
Practice address
582 Lighthouse Ave Ste 21
Pacific Grove, CA 93950-2675
Phone
(408) 409-5107
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Jessica Byrd-Olmstead, PH.D.NPI 1194965327
Title
Ceo
Phone
(408) 409-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

582 Lighthouse Ave Ste 21
Pacific Grove, CA 93950-2675

Mailing address

582 Lighthouse Ave Ste 21
Pacific Grove, CA 93950-2675
Phone (408) 409-5107

National Provider Directory

National Provider Directory

Locations

582 Lighthouse Ave
Ste 21
Pacific Grove, CA 93950
Phone (408) 409-5107

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1679374540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 LIGHTHOUSE AVE STE 21",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502675",
            "telephone_number": "408-409-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 LIGHTHOUSE AVE STE 21",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502675",
            "telephone_number": "408-409-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BYRD-OLMSTEAD, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "BYRD-OLMSTEAD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-409-5107",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.