OPTUM MEDICAL SERVICES, PC (NPI# 1861881708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861881708 |
| Entity Type | Organization |
| Organization Name | OPTUM MEDICAL SERVICES, PC |
| Practice Address |
475 Kilvert St Suite 310 Warwick RI 02886-1379 |
| Mailing Address |
9800 Health Care Ln Minnetonka MN 55343-4542 |
| Practice Telephone | 4017327172 |
| Mailing Telephone | 6152245440 |
| Mailing Fax Number | 8552496092 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | DR. RONALD SHUMACHER (PRESIDENT) |
| Authorized Official Telephone | 2406835331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769241 | Optum Medical Services, PC | Nurse Practitioner | 11020 Optum Cir, Mn102-0600, Eden Prairie, MN 55344-2503 | 2017-02-22 |
| 1124494273 | Optum Medical Services, PC | Nurse Practitioner | 351 W Camden St, Suite 100, Baltimore, MD 21201-7912 | 2015-08-12 |
| 1255746749 | Optum Medical Services, PC | Family Medicine | 7100 College Blvd, Overland Park, KS 66210-1862 | 2014-06-24 |
| 1053721779 | Optum Medical Services, PC | Family Medicine | 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211-2457 | 2014-05-02 |
| Street Address |
475 KILVERT ST SUITE 310 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634535 | Patricia Ann Chace | Internal Medicine | 475 Kilvert St, Warwick, RI 02886-1379 | 2005-07-28 |
| 1275168965 | Caitlin Nicole Tazi | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-03-03 |
| 1295369452 | Mary Ann Caouette | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-02-26 |
| 1679104236 | Jamie Lee Delacruz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-01-31 |
| 1467002097 | Dillon Jackson Madrigal | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-09-16 |
| 1033770342 | Olajumoke Adetunji | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-26 |
| 1710546783 | Mark Paul Fontes | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-12 |
| 1558924688 | Laila Aziz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-04-15 |
| 1861975112 | Kimberly Mae Bissell | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-12 |
| 1477035749 | Kellsey Cormier | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336551381 | Laura Valois | Psychologist | 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | 2014-05-27 |
| 1851731418 | Barry I Grossman | Psychologist | 931 Nathaniel Trl, Warwick, PA 18974-6147 | 2013-06-27 |
| 1538366935 | Gershon Psychological Associates, LLC | Psychologist | 400 Bald Hill Rd, Suite 530, Warwick, RI 02886-1617 | 2007-06-28 |
| 1811100456 | Karen Judith Berry | Psychologist | 14 Union Corners Rd, Warwick, NY 10990-2520 | 2007-05-08 |
| 1407900517 | Linda Richmond | Psychologist | 22 Wheeler Ave, Warwick, NY 10990-1315 | 2007-01-23 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1801843388 | Psychological Associates | Psychologist | 889 Centerville Rd, Warwick, RI 02886-4342 | 2006-05-28 |
| 1508855263 | Michael Edward Werle | Psychologist | 1035 Post Rd, Warwick, RI 02888-3363 | 2005-10-17 |
| 1396374765 | Rhode Island Psychological Institute | Psychologist | 1035 Post Rd, Warwick, RI 02888-3363 | 2020-04-07 |
| 1467018598 | Louis William Turchetta | Psychologist | 1035 Post Rd, Warwick, RI 02888-3363 | 2019-05-14 |
| Find all providers in WARWICK | ||||
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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.