OPTIMAL BEHAVIORAL HEALTH, LLC (NPI# 1124587134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124587134 |
| Entity Type | Organization |
| Organization Name | OPTIMAL BEHAVIORAL HEALTH, LLC |
| Practice Address |
889 Bayshore Road Villas NJ 08251 |
| Practice Telephone | 6098868666 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | MARK ZAPPONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6098868666 |
| Authorized Official Credential | APN-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Families Matter | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548720360 | Optimal Behavioral Health, LLC | Community/Behavioral Health | 899 Bayshore Rd, Villas, NJ 08251-2780 | 2019-03-20 |
| 1366902181 | Optimal Behavioral Health, LLC | Clinic/Center | 899 Bayshore Rd, Villas, NJ 08251-2780 | 2019-03-20 |
| 1679032833 | Optimal Behavioral Health, LLC | Clinic/Center | 899 Bayshore Rd, Villas, NJ 08251-2780 | 2019-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OPTIMAL BEHAVIORAL HEALTH, LLC | 11160 Hwy 62 Ste B, Eagle Point, OR 97524 |
| Street Address |
889 BAYSHORE ROAD |
| City | VILLAS |
| State | NJ |
| Zip Code | 08251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275984502 | Nicole Sagan Farrell | Counselor | 899 Bayshore Road, Families Matter LLC, Villas, NJ 08251 | 2016-06-28 |
| 1922101013 | Patti C Fellows | Nurse Practitioner | 425 Fern Rd, Villas, NJ 08251 | 2006-09-06 |
| 1659328987 | Aloysius Chukwumuche Onwuka | Internal Medicine | 1740 Bayshore Road, Villas, NJ 08251 | 2006-05-30 |
| 1427054345 | Lower Township Rescue Squad | Non-emergency Medical Transport (VAN) | 101 Georgia and Main St, Villas, NJ 08251 | 2005-06-24 |
| 1508882051 | Shore Atlantic Geriatrics LLC | Internal Medicine | 1740 Bayshore Road, Villas, NJ 08251 | 2006-07-15 |
| 1376679894 | Coogan Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 14 Oak Ave, Villas, NJ 08251-0004 | 2007-02-26 |
| 1801006663 | Mary Lou Fricke-neal | Physical Therapist | 314 Shadeland Ave, Villas, NJ 08251-1249 | 2007-05-23 |
| 1235355256 | Linda Louise Kampmeier | Nursing Care | 14 Redwood Ave, Villas, NJ 08251-1475 | 2007-04-18 |
| 1548576218 | Francienna Grant | Physical Therapist | 2006 Bayshore Rd, Villas, NJ 08251-1815 | 2010-08-19 |
| 1396744124 | Roger Allen Young | Optometrist | 2004 Bayshore Rd, Villas, NJ 08251-1815 | 2005-07-14 |
| Find all providers in zip 08251 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902181 | Optimal Behavioral Health, LLC | Clinic/Center | 899 Bayshore Rd, Villas, NJ 08251-2780 | 2019-03-20 |
| 1679032833 | Optimal Behavioral Health, LLC | Clinic/Center | 899 Bayshore Rd, Villas, NJ 08251-2780 | 2019-03-18 |
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| Find all providers with the same taxonomy | ||||
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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.