Organization Active NPI

Olivia Torres PSYD, PLLC

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1730655317
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OLIVIA TORRES PSYD, PLLC
Practice address
833 Kenmoor Ave SE Ste a
Grand Rapids, MI 49546-2390
Phone
(309) 208-6430
Fax
(616) 965-3968
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Dr. Olivia R Torres, PSYD
Title
Psychologist Resident
Phone
(309) 208-6430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

833 Kenmoor Ave SE Ste a
Grand Rapids, MI 49546-2390

Mailing address

833 Kenmoor Ave SE Ste a
Grand Rapids, MI 49546-2390
Phone (309) 208-6430

National Provider Directory

National Provider Directory

Locations

833 Kenmoor Ave SE
Ste A
Grand Rapids, MI 49546
Phone (616) 551-4690

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1730655317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 KENMOOR AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462390",
            "telephone_number": "309-208-6430",
            "fax_number": "616-965-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 KENMOOR AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462390",
            "telephone_number": "309-208-6430",
            "fax_number": "616-965-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA TORRES PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST RESIDENT",
        "authorized_official_telephone_number": "309-208-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.