Carole C Olson, PsyD.
Psychologist, Clinical in Ninantic, CT. Individual provider (NPI-1).
NPI number1720163942
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1720163942
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carole C Olson
- Credential
- PsyD.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2006
- Last updated
- Jun 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY22829 | CA | Yes |
| 103TC0700X | Psychologist, Clinical | 3661 | CT | |
| 103TC0700X | Psychologist, Clinical | PS00750 | RI |
Practice location
4 N. Pine StreetNinantic, CT 06357
Phone 401-862-9651 · Fax 310-659-9217
Mailing address
4 N. Pine StreetNinantic, CT 06357
Phone 401-862-9651 · Fax 310-659-9217
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