Healthcare Provider Details

I. General information

NPI: 1316394802
Provider Name (Legal Business Name): EMILY HUNT OLFSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 GEORGE ST
NEW HAVEN CT
06511-6617
US

IV. Provider business mailing address

230 S FRONTAGE RD YALE CHILD STUDY CENTER
NEW HAVEN CT
06519-1124
US

V. Phone/Fax

Practice location:
  • Phone: 844-362-9272
  • Fax:
Mailing address:
  • Phone: 203-785-2516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number61590
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: