Trevor Olson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY83474 Issued in CA

Practice address

8813 Villa la Jolla Dr Ste 2002
La Jolla, CA 92037-1927

Phone

(858) 255-1658

NPI assigned

Jul 20, 2016

Last updated

Jul 21, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Practice of Being Human Psychology PCGroup PAC ID 2365879293, 5 clinicians

Soul Tide Psychotherapy PCGroup PAC ID 5890286975, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.57 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.89

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Spruell Jeffery, LCSW

  • Clinical Social Worker
  • La Mesa, CA
  • NPI 1275605529
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Practice of Being Human Psychology PC

  dba Learning to be Human

  • Psychologist
  • San Diego, CA
  • NPI 1982254397

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Soul Tide Psychotherapy PC

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1528856531
  Medicare reassignment Care Compare group NPD Authorized official
• Learning to Be Human

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1386159374
  NPD (past) Authorized official
• Akua Behavioral Health, Inc

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
  • NPI 1013651173
  NPD (past)
• Akua Behavioral Health, Inc

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1255801767
  NPD (past)
• Carrolls Community Care

  • Assisted Living Facility (Mental Illness)
  • El Cajon, CA
  • NPI 1154554038
  NPD (past)
• Carrolls Community Care

  • Adult Mental Health Clinic/Center
  • El Cajon, CA
  • NPI 1437380516
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972956373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 A ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022109",
            "telephone_number": "858-255-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 VILLA LA JOLLA DR STE 2002",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371927",
            "telephone_number": "858-255-1658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Calle Magdalena Ste 11",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920243705",
            "country_code": "US",
            "telephone_number": "858-255-1658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 Reynard Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035434",
            "country_code": "US",
            "telephone_number": "858-255-1658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Camino Del Rio S Ste 2525",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083717",
            "country_code": "US",
            "telephone_number": "858-255-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY83474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Olson
• Cheryl Lorraine Olson, M.D.
• Linda Olson, M.D.
• Nicholas Olson, MD
• Scott E Olson, M.D.
• Allison Ombres
• Pamela Vines Ombres, MD
• Bonnie Susan Omeara, NP
• Tiffany Omeara, PH.D.
• Jad Omran, MD

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.