OPTIMUM BEHAVIORAL CARE, INC. (NPI# 1154618478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154618478 |
Entity Type | Organization |
Organization Name | OPTIMUM BEHAVIORAL CARE, INC. |
Practice Address |
501 State Road 13 Saint Johns FL 32259-2832 |
Practice Telephone | 9044106324 |
Practice Fax Number | 8558233434 |
Mailing Telephone | 9044106324 |
Enumeration Date | 2011-07-07 |
Last Update Date | 2014-06-27 |
Authorized Official Name | MR. FRANK MORELLI (PRESIDENT) |
Authorized Official Telephone | 9044106324 |
Authorized Official Credential | M.A., L.M.H.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
501 STATE ROAD 13 |
City | SAINT JOHNS |
State | FL |
Zip Code | 32259-2832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
Find all providers in zip 32259 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477937753 | Moira Ann Kelley | Counselor | 3135 Bishop Estates Rd, Saint Johns, FL 32259-3052 | 2015-07-16 |
1841548419 | Jennifer Celani | Counselor | 1136 Lake Parke Dr, Suite 21, Saint Johns, FL 32259-3022 | 2012-08-29 |
1568747301 | Katherine Penza | Counselor | 887 S Black Cherry Dr, Saint Johns, FL 32259-7002 | 2011-10-12 |
1679705156 | Erin Louise Porter | Counselor | 171 Scotland Yard Blvd, Saint Johns, FL 32259-5913 | 2009-08-17 |
1649412784 | Richard Brown Gleason Jr. | Counselor | 307 E Baldwin St, Saint Johns, MI 48879-1906 | 2009-04-06 |
1588845507 | John Richard Husby | Counselor | 705 S Mead St, Saint Johns, MI 48879-2223 | 2007-11-19 |
1053977470 | Robin Padilla | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2019-05-10 |
1144720129 | Rebecca Sue Noffke | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2018-02-16 |
1568812329 | T.c.i. Therapy, LLC | Counselor | 1637 Race Track Rd, Suite 236, Saint Johns, FL 32259-3239 | 2016-06-13 |
1396119582 | Jason Frank Riley | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2015-11-25 |
Find all providers in SAINT JOHNS |
City | SAINT JOHNS |
Zip Code | 32259 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.