Active NPI
Glenda J Olivier, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1700176351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 17106
- Practice address
- 10650 Scripps Ranch Blvd
Ste 131
San Diego, CA 92131-2470 - Phone
- (858) 243-1300
- NPI assigned
- Apr 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 17106 | CA | Primary |
Addresses
Primary practice location
10650 Scripps Ranch Blvd
Ste 131
San Diego, CA 92131-2470
Mailing address
PO Box 863
Carlsbad, CA 92018-0863
Phone (858) 243-1300
Other names 1
- Dr. Glenda J Olivier
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17106 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1700176351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920180863",
"telephone_number": "858-243-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 SCRIPPS RANCH BLVD",
"address_2": "STE 131",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921312470",
"telephone_number": "858-243-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "GLENDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-17",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 17106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLENDA",
"last_name": "OLIVIER",
"middle_name": "J",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.