Active NPI
Nancy G. Olson, L.C.S.W.
- Clinical Psychologist
- Chico, CA
National Provider Identifier
1922293091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LCS 19597
- Practice address
- 567 E Lassen Ave
#204
Chico, CA 95973-0675 - Phone
- (530) 343-0404
- NPI assigned
- Sep 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LCS 19597 | CA | Primary |
Addresses
Primary practice location
567 E Lassen Ave
#204
Chico, CA 95973-0675
Mailing address
567 E Lassen Ave
#204
Chico, CA 95973-0675
Phone (530) 343-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19597 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1922293091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 E LASSEN AVE",
"address_2": "#204",
"city": "CHICO",
"state": "CA",
"postal_code": "959730675",
"telephone_number": "530-343-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 E LASSEN AVE",
"address_2": "#204",
"city": "CHICO",
"state": "CA",
"postal_code": "959730675",
"telephone_number": "530-343-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "NANCY",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "LCS 19597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.