Olesnavage Psychological Services PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010173 Issued in MI

Legal business name

OLESNAVAGE PSYCHOLOGICAL SERVICES PC

Practice address

106 Coles Dr
Marquette, MI 49855-4010

Phone

(906) 225-1071

Fax

(906) 225-1074

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Olesnavage, PSYDNPI 1942237672

Title

Owner/President

Phone

(906) 225-1071

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John Joseph Olesnavage, PH.D.

  • Psychologist
  • Big Bay, MI
  • NPI 1942237672
  NPD (past) Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1760671671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLES DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554010",
            "telephone_number": "906-225-1071",
            "fax_number": "906-225-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLES DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554010",
            "telephone_number": "906-225-1071",
            "fax_number": "906-225-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLESNAVAGE PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "OLESNAVAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "906-225-1071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Oeftering, L.M.T
• Anna Ogren
• Nicole Ohman
• Cora Ohnstad, MS, AT, ATC
• Lindsey Ann Olesak, OD
• Shelle Marie Olsen, RN
• Olson Psychological Services, PC
• Allan L Olson, DO
• Deanna Olson
• Marin Olson, PHD

• Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.