Active NPI
Olivo Therapy Group
- Psychologist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- OLIVO THERAPY GROUP
- Practice address
- 290 Chestnut St
Newark, NJ 07105 - Phone
- (973) 545-6767
- NPI assigned
- Feb 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julio Ceaser Olivo II, PHD
- Title
- Psychologist/Owner
- Phone
- (973) 545-6767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
290 Chestnut St
Newark, NJ 07105
Mailing address
1112 Thirza PL
Rahway, NJ 07065-2707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Olivo Therapy Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Newark, NJ
- NPI 1073208146
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Social Worker
- Newark, NJ
- NPI 1073208146
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Newark, NJ
- NPI 1215437025
-
- Clinical Social Worker
- Passaic, NJ
- NPI 1679239594
-
- Psychologist
- Union, NJ
- NPI 1538618822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531699200000",
"number": "1902306715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 THIRZA PL",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CHESTNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07105",
"telephone_number": "973-545-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVO THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-19",
"last_updated": "2018-07-16",
"status": "A",
"authorized_official_last_name": "OLIVO",
"authorized_official_first_name": "JULIO",
"authorized_official_middle_name": "CEASER",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "973-545-6767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.