Active NPI
Optimal Behavioral Services LLC
- Community/Behavioral Health Agency
- Fargo, ND
National Provider Identifier
1003609546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- OPTIMAL BEHAVIORAL SERVICES LLC
- Practice address
- 3523 45TH St S Ste 100
Fargo, ND 58104-8962 - Phone
- (602) 430-9646
- NPI assigned
- May 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lameck John Nyakweba
- Title
- Executive Director
- Phone
- (602) 430-9646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3523 45TH St S Ste 100
Fargo, ND 58104-8962
Mailing address
11418 W Rosewood Dr
Avondale, AZ 85392-3421
National Provider Directory
National Provider Directory- Tax ID family
- Optimal Behavioral Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Portland, OR
- NPI 1376345769
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Avondale, AZ
- NPI 1609002948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1003609546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11418 W ROSEWOOD DR",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3523 45TH ST S STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581048962",
"telephone_number": "602-430-9646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A",
"authorized_official_last_name": "NYAKWEBA",
"authorized_official_first_name": "DR. LAMECK",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "602-430-9646"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.