OLIVE BRANCH CLINIC
NPI 1528512183
Psychiatry & Neurology - Child & Adolescent Psychiatry in Oklahoma City, OK

Active since August 11, 2016
13821 TECHNOLOGY DR STE B, OKLAHOMA CITY, OK 73134(405) 451-3454(405) 451-3454 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2022, Nov 17, 2018, Aug 11, 2016 (3 updates tracked since 2016).

About Olive Branch Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE BRANCH CLINIC (NPI 1528512183) is a healthcare organization registered as a child & adolescent psychiatry in Oklahoma City, Oklahoma and active in the NPI registry since August 2016. The organization lists William Oliva, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1528512183
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameOLIVE BRANCH PSYCHIATRY
Location Address13821 TECHNOLOGY DR STE BOklahoma City, OK 73134-1046
Mailing Address13821 Technology Dr Ste BOklahoma City, OK 73134-1046 · (405) 451-3454 · Fax (405) 543-7359
Fax(405) 451-3454
Organization SubpartNo
Authorized OfficialWilliam OlivaChief Medical Officer · (405) 451-3454
Enumeration DateAugust 11, 2016
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1528512183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
13821 TECHNOLOGY DR STE B, Oklahoma City, OK 73134

Other Names 2

Doing Business AsOlive Branch Clinic
Doing Business AsOliva Branch Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olive Branch Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Olive Branch Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1770475725
13821 TECHNOLOGY DR
Oklahoma City, OK 73134
(405) 451-3454
✔ PECOSSame address
Nurse Practitioner
NPI 1881372159
4400 N LINCOLN BLVD
Oklahoma City, OK 73105
(405) 424-7711
✔ PECOS✔ Accepts Medicare7.8 mi
Psychiatry
NPI 1700292356
920 STANTON L YOUNG BLVD
Oklahoma City, OK 73104
(405) 271-4219
✔ PECOS✔ Accepts Medicare10 mi
Psychiatry
NPI 1356781199
2601 SPENCER RD
Spencer, OK 73084
(405) 427-2441
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Branch Psychiatry's NPI number?

The NPI number for Olive Branch Psychiatry is 1528512183. It was assigned to this organization in the NPPES registry on August 11, 2016. The provider is doing business as Olive Branch Clinic and Oliva Branch Clinic.

Where is Olive Branch Psychiatry located?

Olive Branch Psychiatry is located at 13821 Technology Dr Ste B, Oklahoma City, OK 73134. The listed phone number is (405) 451-3454.

What is Olive Branch Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Olive Branch Psychiatry enrolled in Medicare?

Yes. Olive Branch Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olive Branch Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Olive Branch Psychiatry, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Olive Branch Psychiatry accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Olive Branch Psychiatry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olive Branch Psychiatry was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.