DR. NICOLE TAYLOR OLIVAS PHD
NPI 1902318165
Psychologist in Grand Rapids, MI

Active since October 27, 2017PECOS Enrolled
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503(616) 259-7207(616) 259-7261 Get Directions Write a Review

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

Record update history: Aug 19, 2020, Oct 27, 2017 (2 updates tracked since 2017).

About Dr. Nicole Taylor Olivas Phd NPPES

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

DR. NICOLE TAYLOR OLIVAS PHD (NPI 1902318165) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301018955) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902318165
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICOLE TAYLOR OLIVASCredential: PHD
Location Address1000 MONROE AVE NWGrand Rapids, MI 49503-1455
Mailing Address1000 Monroe Ave NwGrand Rapids, MI 49503-1455 · (616) 259-7207
Fax(616) 259-7261
Sole ProprietorNo
Enumeration DateOctober 27, 2017
Last NPPES UpdateApril 18, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1902318165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6301018955
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1000 MONROE AVE NW, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Taylor Olivas Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Olivas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1000 MONROE AVE NW
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
Clinical Neuropsychologist
3292 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hospice and Palliative Medicine)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Psychologist (Clinical)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Counselor (Professional)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503
Counselor (Professional)
1000 MONROE AVE NW
GRAND RAPIDS, MI 49503

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 Nicole Olivas's NPI number?

The NPI number for Nicole Olivas is 1902318165. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Where is Nicole Olivas located?

Nicole Olivas practices at 1000 Monroe Ave NW, Grand Rapids, MI 49503. The listed phone number is (616) 259-7207.

What is Nicole Olivas's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nicole Olivas enrolled in Medicare?

Yes. Nicole Olivas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Olivas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Olivas reassigns Medicare benefits to 2 organizations: River City Psychological Services PC (Grand Rapids, MI) and Behavioral Resources And Institute For Neuropsychological Services (Grand Rapids, MI). Each 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 Nicole Olivas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Olivas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Nicole Olivas 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 Nicole Olivas was last updated on April 18, 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.