Olivia M Joly, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

258980 Issued in NY

Practice address

710 W 168TH St
Neuro 12
New York, NY 10032-3726

Phone

(212) 305-9758

NPI assigned

Jan 2, 2009

Last updated

Mar 10, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • West Brentwood, NY
  • NPI 1578627485
  Medicare reassignment NPD
• Trustees of Columbia University in Department of Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1619911526
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1780820373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W 166TH ST",
            "address_2": "FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324207",
            "telephone_number": "212-942-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "address_2": "NEURO 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "212-305-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLY",
        "first_name": "OLIVIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "258980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnsue Kay Jolley, LCSW
• Anu Jolly, D.D.S.
• Ella M Jolly, L.C.S.W.
• Kimberly Jolly, PT
• Aimee Jolson, LMT
• Jon B. Turk, M.D., P.C. (Manhattan Plastic Surgery)
• Jon R Snyder M D P C
• Jonah W Schein MD PC
• Jonas M.Goldstone,M.D.,P.C.
• Anna Jeanette Jonas

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.