Carlton H Oler, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20356 Issued in CA

Practice address

749 E Park Blvd Apt 323
Boise, ID 83712-7795

Phone

(415) 672-2378

NPI assigned

Oct 31, 2022

Last updated

May 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1902513914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 E PARK BLVD APT 323",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127795",
            "telephone_number": "415-672-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 E PARK BLVD APT 323",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127795",
            "telephone_number": "415-672-2378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Buckingham Way Ste 343",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321911",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLER",
        "first_name": "CARLTON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-20308",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kathleen Oldenkamp
• Elizabeth Oldenkamp, PA-C
• Susan D Oldenkamp, LPC, NCC
• Teri Oldham, SLPA
• Christine Louise Olen, MPT
• Catherine M Oliphant, PHARMD
• Charles Cody Oliver Jr., PT, DPT
• Samantha Jo Oliver, PT, DPT, ATC
• Mariah Ollive, PA-C
• Joseph Emilian Ollivier, PHYSICIAN ASSISTANT

• Clinical Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.