OPTIMUM BEHAVIORAL SERVICES LLC NPI 1700575677

NPI Information

NPI: 1700575677
Provider Name: OPTIMUM BEHAVIORAL SERVICES LLC

Other Name: HOME OFFICE

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5020 ROUTE 9W STE 103
NEWBURGH, NY
ZIP 12550
Phone: (443) 557-8519
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OPTIMUM BEHAVIORAL SERVICES LLC is a psychiatric/mental health nurse practitioner in Newburgh, NY. OPTIMUM BEHAVIORAL SERVICES LLC NPI is 1700575677. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Home Office.

The provider's business location address is:

5020 ROUTE 9W STE 103
NEWBURGH, NY
ZIP 12550-901
Phone: (443) 557-8519

The provider's authorized official is Mutinta Chestnut .
The authorized official title is Medical Director and has the following contact phone number (443) 557-8519.

The enumeration date for this NPI number is 5/5/2023 and was last updated on 12/4/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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