Active NPI
Louise Olson, PSYD
- Psychologist
- Pelham, NY
National Provider Identifier
1790567139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P133305
- Practice address
- 629 Fifth Ave Ste 109
Pelham, NY 10803-3708 - Phone
- (914) 368-2995
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P133305 | NY | Primary |
Addresses
Primary practice location
629 Fifth Ave Ste 109
Pelham, NY 10803-3708
Mailing address
14 Burton Rd
Larchmont, NY 10538-3302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P133305 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upshur Bren Psychology Group | Psychologist | Current | Accepting new patients |
Locations
629 Fifth Ave
Ste 109
Pelham, NY 10803
Phone (914) 222-0297
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Pelham, NY
- NPI 1710764329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1790567139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BURTON RD",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105383302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 FIFTH AVE STE 109",
"city": "PELHAM",
"state": "NY",
"postal_code": "108033708",
"telephone_number": "914-368-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "P133305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.