Marie Casey Olseth, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

PY 49497 Issued in MN

Practice address

1550 Utica Ave S
Suite 450
St Louis Park, MN 55416-5312

Phone

(952) 856-8452

NPI assigned

May 11, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marie Casey Olseth, MD, LLC

  • Adult Mental Health Clinic/Center
  • St Louis Park, MN
  • NPI 1699196337
  NPD (past) Authorized official
• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1801846977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 UTICA AVE S",
            "address_2": "SUITE 450",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165312",
            "telephone_number": "952-856-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UTICA AVE S",
            "address_2": "SUITE 450",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165312",
            "telephone_number": "952-856-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSETH",
        "first_name": "MARIE",
        "middle_name": "CASEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "PY 49497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olitzky Pediatric Psychological Services LLC
• Deborah Olkon
• Christina Johanna Olownia
• Katie M Olsen
• Kristin J Olsen, PHARMD
• Aaron Olson
• Cynthia L Olson, MD
• Danielle Kristina Olson
• Elizabeth Olson
• Elizabeth Ann Olson, M.A.

• Psychiatry Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.