Sallie Olsen, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13013 Issued in CA

Practice address

1797 Fourth St
Livermore, CA 94550-4347

Phone

(925) 443-2500

Fax

(925) 443-0771

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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 Philosophy

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.

• Del Valle Clinic, Inc

  • Clinical Psychologist
  • Livermore, CA
  • NPI 1023028248
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1881621845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500",
            "fax_number": "925-443-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500",
            "fax_number": "925-443-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SALLIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mijiroghene Okobiah, PHARM.D
• Alma D Olivarez
• Jamie Jessop Olivo, R.D.
• Rochelle R Olmos, AMFT
• Dane William Olney
• Lori Olson
• One Health Home Care Inc
• One Health Hospice, Inc.
• William G. Ong, MD
• Coral Oon

• Clinical Psychologist in Livermore, CA
• Providers in Livermore, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.