Healthcare Provider Details

I. General information

NPI: 1457938110
Provider Name (Legal Business Name): OLIVIA PLANTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MELROSE AVE STE 101
GREENWICH CT
06830-6277
US

IV. Provider business mailing address

100 MELROSE AVE STE 101
GREENWICH CT
06830-6277
US

V. Phone/Fax

Practice location:
  • Phone: 914-458-2355
  • Fax:
Mailing address:
  • Phone: 914-458-2355
  • Fax: 516-842-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number330829
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number80987
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: