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Active NPI 1174745681 Individual Practitioner Male Practitioner

Dr. David Glenn Olson , PsyD

Psychologist - Clinical • Edina, MN

Professional Overview & Biography Verified Profile Summary

Dr. David Olson, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Edina, MN. Practice services are available at 4005 W 65TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4005 W 65th St
Suite 204

Edina, MN 554351720

Telephone 9529202282
Fax 9529202219
Associated Practice Facility / Clinic
🏢 Mindset, Inc. Facility NPI 1144265232

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Edina, MN (1595 Statewide)

Telehealth Adoption Rate
19.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MN MNLP3475

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ubh Medica
6164976 (MN)
Commercial Insurance / Payer ID Bcbs
291M8NE (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1164570396

Master of Arts

John Benda , LICSW

Social Worker - Clinical

NPI 1194723288

Licensed Independent Clinical Social Worker

NPI 1225159825

Master of Arts, Licensed Psychologist

Pamela Rosch , MA

Marriage & Family Therapist

NPI 1316075104

Master of Arts

Dr. Linda Carole , PsyD

Psychologist - Counseling

NPI 1336195874

Doctor of Psychology (Psy.D.)

Deborah Haddock , LP, LPC

Counselor - Professional

NPI 1497824486

Licensed Psychologist, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4005 W 65TH ST, SUITE 204, EDINA, MN 554351720 (Tel: 9529202282)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4005 W 65TH ST, SUITE 204, EDINA, MN 554351720 (Tel: 9529202282)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID OLSON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #MNLP3475 in MN)

🟢
Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174745681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4005 W 65th St, Suite 204

Edina, MN 554351720

Phone: 9529202282

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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