OLIMPIA ROSARIO (NPI# 1225242043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225242043 |
Entity Type | Individual |
Full Name | OLIMPIA ROSARIO |
Credential | MD |
Practice Address |
1815 Pleasant Grove Rd. Jonesboro AR 72404 |
Practice Telephone | 8709336886 |
Mailing Telephone | 8709336886 |
Mailing Fax Number | 8709339395 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2012-08-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
0101230251 | VA | Behavioral Health & Social Service Providers |
Street Address |
1815 PLEASANT GROVE RD. |
City | JONESBORO |
State | AR |
Zip Code | 72404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265924476 | Sierra Marie Mitchell | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd., Jonesboro, AR 72401 | 2018-06-04 |
1689033086 | Summer Lee Corker | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd., Jonesboro, AR 72404 | 2016-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
Find all providers in zip 72404 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629348057 | Kathryn M Gale | Psychologist | 12712 Natural Steps Dr, Roland, AR 72135-9395 | 2012-01-02 |
1154511640 | Tina Marie Emerson | Psychologist | 5703 Central Ave, #11, Hot Springs, AR 71913-1824 | 2007-07-31 |
1992930903 | William E. Mccollum, M.d., P.a. | Psychologist | 201 N 36th St, Rogers, AR 72756-1750 | 2009-05-19 |
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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.