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MICHAEL L. OLSON PHD INC PS
NPI 1639376627
Psychologist - Clinical in Lynnwood, WA

Active since July 02, 2007
5108 196TH ST SW STE 208, LYNNWOOD, WA 98036(206) 387-7100(425) 670-6578 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael L. Olson Phd Inc Ps NPPES

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

MICHAEL L. OLSON PHD INC PS (NPI 1639376627) is a healthcare organization registered as a clinical in Lynnwood, Washington and active in the NPI registry since July 2007. The organization lists Michael L Olson, President, as its authorized official.

NPPES Registry Identity

NPI1639376627
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMICHAEL L. OLSON PHD INC PS
Location Address5108 196TH ST SW STE 208Lynnwood, WA 98036-6152
Mailing Address5108 196th St Sw Ste 208Lynnwood, WA 98036-6152 · (206) 387-7100 · Fax (425) 670-6578
Phone(206) 387-7100
Fax(425) 670-6578
Organization SubpartNo
Authorized OfficialMichael L OlsonPresident · (206) 387-7100
Enumeration DateJuly 2, 2007
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1639376627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · 1263
Definition
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.
5108 196TH ST SW STE 208, Lynnwood, WA 98036
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Other Identifiers 1

Medicaid7139405WA

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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)

Michael L. Olson Phd Inc Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael L. Olson Phd Inc Ps, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Olson, PH D
Clinical Psychologist
NPI 1306919287
5108 196TH ST SW STE 208
Lynnwood, WA 98036
(206) 387-7100
✔ PECOS✔ Accepts MedicareSame address

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 Michael L. Olson Phd Inc Ps's NPI number?

The NPI number for Michael L. Olson Phd Inc Ps is 1639376627. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Michael L. Olson Phd Inc Ps located?

Michael L. Olson Phd Inc Ps is located at 5108 196th St SW Ste 208, Lynnwood, WA 98036. The listed phone number is (206) 387-7100.

What is Michael L. Olson Phd Inc Ps's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael L. Olson Phd Inc Ps enrolled in Medicare?

Yes. Michael L. Olson Phd Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael L. Olson Phd Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Michael L. Olson Phd Inc Ps. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michael L. Olson Phd Inc Ps accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Michael L. Olson Phd Inc Ps 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 Michael L. Olson Phd Inc Ps was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.