OrganizationActive
Olive Branch Psychiatry
NPI 1528512183 · Child & Adolescent Psychiatry Physician · Oklahoma City, OK
Provider details
- NPI number
- 1528512183
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- William Oliva, Chief Medical Officer
Practice location
13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046
Phone: (405) 451-3454
Fax: (405) 451-3454
Mailing address
13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046
Registry dates
- Enumerated
- 2016-08-11
- Last updated
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.