Organization Active NPI

Optimal Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Fargo, ND
National Provider Identifier
1003609546
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 27, 2025

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.