Active NPI
Eva Denise Olson, M.D.
- Psychiatry Physician
- Ann Arbor, MI
National Provider Identifier
1891965596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301059839
- Practice address
- 255 E Liberty St
Suite 287
Ann Arbor, MI 48104-2119 - Phone
- (734) 332-3976
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301059839 | MI | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 4301059839 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301059839 | MI |
Addresses
Primary practice location
255 E Liberty St
Suite 287
Ann Arbor, MI 48104-2119
Mailing address
255 E Liberty St
Suite 287
Ann Arbor, MI 48104-2119
Phone (734) 332-3976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216000613 | MI | Order and Referring Only - Psychiatry | 3274837067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059839 | MI | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1891965596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E LIBERTY ST",
"address_2": "SUITE 287",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042119",
"telephone_number": "734-332-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E LIBERTY ST",
"address_2": "SUITE 287",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042119",
"telephone_number": "734-332-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "EVA",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301059839",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MI",
"license": "4301059839",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301059839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.