Optimal Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201150137NP Issued in OR

Legal business name

OPTIMAL BEHAVIORAL HEALTH

Practice address

22297 Highway 62
Suite B
Shady Cove, OR 97539-9831

Phone

(541) 864-0306

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melanie Kabot-Sturos, PMHNP-BCNPI 1346531860

Title

Owner

Phone

(541) 864-0306

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie M Kabot-Sturos, PMHNP

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Medford, OR
  • NPI 1346531860
  NPD (past) Authorized official
• Curtis Jon Sturos, MD

  • Psychiatry Physician
  • Eagle Point, OR
  • NPI 1104968197
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1003243296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975390159",
            "telephone_number": "541-864-0306",
            "fax_number": "541-878-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22297 HIGHWAY 62",
            "address_2": "SUITE B",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975399831",
            "telephone_number": "541-864-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "KABOT-STUROS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-864-0306",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150137NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Bruce Lassen, D.M.D.
• Laura L. Johnson, N.P., P.C. (Crater Lake Medical South)
• Mending Waters Counseling LLC
• Lila R Moschetti, RPH
• Luke B Murphy, DMD
• Ryan Stuart Price, MA, LPC
• Kelsey Reed, RDH
• Rogue Community Health
• Shady Cove Chiropractic and Massage, LLC
• Shady Cove Chiropractic, LLC

• Psychiatric/Mental Health Nurse Practitioner in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.