James Olsen III, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301004056 Issued in MI

Practice address

114 Tuscola
Bay City, MI 48708-6995

Phone

(989) 895-0788

NPI assigned

Sep 8, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Psychological & Neurobehavioral Services, LLC

  • Mental Health Counselor
  • Bay City, MI
  • NPI 1356376487
  Medicare reassignment

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700980083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TUSCOLA",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TUSCOLA",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JAMES",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301004056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAAGE",
            "identifier": "1016060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "042659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "042659",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Oleksy
• Maya Olgac
• Sierra Rose Olivarez
• Lucy Oliver
• Anne M Olsen, MSW, LMSW, ACSW
• Hailey Olsick
• On the Move Physical Therapy and Rehabilitation, LLC
• Anita Ordiway
• Nicholas Orow, M.D.
• Nicholas David Osann, PA-S

• Clinical Neuropsychologist in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.