Genesis M Olmo

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

548 Park Ave Ste B
Worcester, MA 01603-2537

Phone

(774) 823-1500

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Genesis M Muniz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1750198289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEBRASKA ST UNIT 5",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043672",
            "telephone_number": "978-333-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 PARK AVE STE B",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032537",
            "telephone_number": "774-823-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMO",
        "first_name": "GENESIS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENESIS",
            "last_name": "MUNIZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pittsma Olivier
• William M. Olivier, LICSW
• Anna Olivo, NP-C
• Annie Dillon Ollila, MSW LICSW
• Miguel Olmedo, DNP
• Abigale Olmsted
• Adedoja Adebisi Ologuntere
• Allison Olsen
• Katherine Laura Olshan, MD
• Carolann Olson, MS, CCC-SLP

• Community/Behavioral Health Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.