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

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4487 Issued in OH

Legal business name

CRAIG D. OLSON PSY.D. & ASSOCIATES, LLC

Practice address

7071 Corporate Way
Suite 106
Centerville, OH 45459

Phone

(937) 436-5999

Fax

(937) 530-2304

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Craig Douglas Olson, PSY.D.NPI 1780774943

Title

Clinical Psychologist

Phone

(937) 436-5999

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Douglas Olson, PSY.D.

  • Clinical Psychologist
  • Centerville Finance, OH
  • NPI 1780774943
  Medicare reassignment NPD Authorized official
• Charlene Jesse Carlock, PHD

  • Psychologist
  • Dayton, OH
  • NPI 1902904295
  NPD (past)
• Donald Joseph Kramer, PHD CLINICAL PSYCHOL

  • Clinical Psychologist
  • Beavercreek, OH
  • NPI 1811102247
  NPD (past)
• Anita Joy Zakem, LISW-S

  • Clinical Social Worker
  • Dayton, OH
  • NPI 1740410414
  NPD (past)
• Ronald Scott Rathje, LCSW

  • Clinical Social Worker
  • Lakeland, FL
  • NPI 1710085006
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1811261647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751371",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454751371",
            "telephone_number": "937-436-5999",
            "fax_number": "937-435-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 CORPORATE WAY",
            "address_2": "SUITE 106",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-436-5999",
            "fax_number": "937-530-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG D. OLSON PSY.D. & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-436-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4487",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.