Craig Douglas Olson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4487 Issued in OH

Practice address

7071 Corporate Way
7071 Corporate Way Suite106
Centerville Finance, OH 45459-8911

Phone

(937) 890-9804

Fax

(513) 897-3821

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Wright State University Boonshoft School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Craig D. Olson Psy.D. & Associates, LLC

  • Psychologist
  • Centerville, OH
  • NPI 1811261647

  Clinical

  Medicare reassignment NPD Authorized official
• Sharon D Brown, Psy.D., LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1316027873
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780774943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 HARLAN RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450688768",
            "telephone_number": "937-890-9804",
            "fax_number": "513-897-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 CORPORATE WAY",
            "address_2": "7071 CORPORATE WAY SUITE106",
            "city": "CENTERVILLE FINANCE",
            "state": "OH",
            "postal_code": "454598911",
            "telephone_number": "937-890-9804",
            "fax_number": "513-897-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CRAIG",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000211199",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlynn J. Mahefkey, LPCC
• Brian Michael Meister, DDS
• Mvhe Inc (Internal Medicine and Pediatrics of Centerville)
• Vannah Ellen Nantz, D.D.S
• Ohio CVS Stores LLC (CVS Pharmacy#03477)
• Brenda Renee Palmer, DDS
• Michael Louis Pedrotti, O.D.
• Linda Whitley Reed, PHD
• Rodney Conrad Robbins, D.D.S.
• Theresa Marie Roberts, AUDIOLOGIST

• Clinical Psychologist in Centerville Finance, OH
• Providers in Centerville Finance, OH by specialty
• Clinical Psychologist in Ohio

• 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.