OPTIMAL MENTAL OUTLOOK NPI 1104660067

NPI Information

  • NPI: 1104660067
  • Provider Name: OPTIMAL MENTAL OUTLOOK
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5945 NEWBERRY PINES AVE
    WESLEY CHAPEL, FL
    ZIP 33545
  • Phone: (317) 496-8036

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NPI Details

OPTIMAL MENTAL OUTLOOK is a psychiatric/mental health nurse practitioner in Wesley Chapel, FL. OPTIMAL MENTAL OUTLOOK NPI is 1104660067. The provider is registered as an organization entity type.

The provider's business location address is:

5945 NEWBERRY PINES AVE
WESLEY CHAPEL, FL
ZIP 33545-294
Phone: (317) 496-8036

The provider's authorized official is Jasmine Graves .
The authorized official title is Owner and has the following contact phone number (317) 496-8036.

The enumeration date for this NPI number is 6/24/2024 and was last updated on 6/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
43104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
53104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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