DR. THOMAS JACOBUS OLSON (PSY.D.) – Psychologist, NPI 1467675116

DR. THOMAS JACOBUS OLSON (PSY.D.) is a healthcare provider. based in Saginaw, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6301011436 (MI). The NPI Number for DR. THOMAS JACOBUS OLSON (PSY.D.) is 1467675116

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS JACOBUS OLSON (PSY.D.)
NPI
1467675116
Phone
(989) 791-2455
Address
3785 BAY RD
Enumeration Date
11 April 2007
Last Update Date
13 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898322165
Graduation Year
2000 (26 years ago)
PAC ID
7315010428
Group Practice PAC ID
7719050814
Professional Enrollment ID
I20080723000413
Address ID
MI486402769MI720XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. THOMAS JACOBUS OLSON (PSY.D.)

  • 3785 BAY RD

    SAGINAW, MI 486032433

    Phone: (989) 791-2455

    Type: Mailing

  • 720 W WACKERLY ST

    SUITE 4

    MIDLAND, MI 486402769

    Phone: (989) 832-2165

    Fax: (989) 839-4376

    Type: Location

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: 2008-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080723000413IClinical PsychologistMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719050814View full group profile
NameSpecialtyState
-MI
Mental Health CounselorMI
-MI
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical PsychologistMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What is the standard ID for DR. THOMAS JACOBUS OLSON (PSY.D.) in the U.S.?
In the U.S., DR. THOMAS JACOBUS OLSON (PSY.D.) is identified by NPI 1467675116.
Is DR. THOMAS JACOBUS OLSON (PSY.D.)'s NPI status active today?
Active status means DR. THOMAS JACOBUS OLSON (PSY.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. THOMAS JACOBUS OLSON (PSY.D.) does?
Insurance directories may phrase it differently, but here DR. THOMAS JACOBUS OLSON (PSY.D.) maps to Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. THOMAS JACOBUS OLSON (PSY.D.)?
DR. THOMAS JACOBUS OLSON (PSY.D.) shows a connection to Saginaw, Michigan in registry-derived data.
Who maintains DR. THOMAS JACOBUS OLSON (PSY.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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