DR. RICHARD P. OLCESE (NPI# 1134149289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134149289 |
| Entity Type | Individual |
| Full Name | DR. RICHARD P. OLCESE |
| Credential | PSY.D |
| Practice Address |
1260 N Dutton Ave Suite 245 Santa Rosa CA 95401-4659 |
| Practice Telephone | 7075700803 |
| Practice Fax Number | 7075700809 |
| Mailing Telephone | 7075700803 |
| Mailing Fax Number | 7075700809 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY10691 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1260 N DUTTON AVE SUITE 245 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626112 | Samantha Frias | Community Health Worker | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2019-12-16 |
| 1447748751 | Sean Avila Saiter | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2018-04-23 |
| 1295105500 | Allison Faris | Psychologist | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2015-09-29 |
| 1689093726 | Vergil Hobbs | Clinical Neuropsychologist | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2014-04-15 |
| 1801224043 | Katherine Whitley | Nurse Practitioner | 1260 N Dutton Ave, #275, Santa Rosa, CA 95401-4659 | 2013-10-25 |
| 1447500756 | Peter Behel | Behavioral Analyst | 1260 N Dutton Ave, 175, Santa Rosa, CA 95401-4659 | 2012-09-13 |
| 1205117876 | Tari Webber | Counselor | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2011-09-08 |
| 1619295839 | Lifeworks of Sonoma County | Community/Behavioral Health | 1260 N Dutton Ave, Ste 105 & Ste 244, Santa Rosa, CA 95401 | 2010-05-12 |
| 1891927281 | Andrew Evan O'neall | Psychologist | 1260 N Dutton Ave, Ste 225, Santa Rosa, CA 95401-4659 | 2009-08-18 |
| 1487883765 | Patricia P. Spiva | Psychologist | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2009-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568854727 | North Bay Neuropsychology A Psychology Corporation | Clinical Neuropsychologist | 1101 College Ave, Suite 250, Santa Rosa, CA 95404-3956 | 2015-02-25 |
| 1689093726 | Vergil Hobbs | Clinical Neuropsychologist | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2014-04-15 |
| 1427362680 | Sonoma Memory Center Comprehensive Psychology Services Professional Co | Clinical Neuropsychologist | 1111 Sonoma Ave, Ste 322, Santa Rosa, CA 95405-4819 | 2010-07-29 |
| 1225349145 | Katie Jo Keridan | Clinical Neuropsychologist | 825 College Ave Ste 4, Santa Rosa, CA 95404-4108 | 2010-06-24 |
| 1215260591 | Jeremy Blank | Clinical Neuropsychologist | 2455 Bennett Valley Rd, Ste B208, Santa Rosa, CA 95404-5667 | 2009-09-17 |
| 1962652883 | Ellen O'toole | Clinical Neuropsychologist | 1101 College Ave, Suite 250, Santa Rosa, CA 95404-3956 | 2008-09-27 |
| 1487846069 | Sonoma Memory Clinic | Clinical Neuropsychologist | 401 S A St, Santa Rosa, CA 95401-8518 | 2007-08-16 |
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| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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| City | SANTA ROSA |
| Zip Code | 95401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.