DR. DANIEL H OLSEN (PSYD) – Clinical Psychologist, NPI 1780008425
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for DR. DANIEL H OLSEN (PSYD)
PO BOX 44230
JACKSONVILLE, FL 322314230
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL 322078329
Phone: (904) 376-3800
Fax: (904) 396-8975
Type: Location
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 320816236
Phone: (904) 376-3800
Type: Location
8266 ATLEE ROAD
MOB II STE 330
MECHANICSVILLE, VA 23116
Phone: (804) 325-8720
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220318001837 | I | Clinical Psychologist | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 1,424 | 281 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 654 | 293 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 321 | 320 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 302 | 297 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 283 | 282 | $0 |
Insurance plans in this area (ZIP 32231)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| N E U R O L O G Y | MA | |
| General Surgery | VA | |
| - | VA | |
| - | VA | |
| General Surgery | NC | |
| Cardiac Surgery | VA | |
| - | VA | |
| E N D O C R I N O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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