Organization Active NPI

Optimal Mental Health & Wellness, PLLC

  • Adult Mental Health Clinic/Center
  • Jenkintown, PA
National Provider Identifier
1003776295
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OPTIMAL MENTAL HEALTH & WELLNESS, PLLC
Practice address
101 Old York Rd Ste 202
Jenkintown, PA 19046-3911
Phone
(267) 984-3766
NPI assigned
Nov 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Subha JoyNPI 1578154480
Title
CRNP
Phone
(267) 984-3766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

101 Old York Rd Ste 202
Jenkintown, PA 19046-3911

Mailing address

9901 Player Dr
Philadelphia, PA 19115-1021
Phone (267) 984-3766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218002336 PA Part B Supplier - Clinic/Group Practice 1456846393 Receives reassigned benefits from 1 practitioner
Practice locations: Jenkintown, PA

National Provider Directory

National Provider Directory

Locations

101 Old York Rd
Ste 202
Jenkintown, PA 19046
Phone (215) 333-7562

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1003776295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 PLAYER DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151021",
            "telephone_number": "267-984-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD STE 202",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463911",
            "telephone_number": "267-984-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MENTAL HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "SUBHA",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "267-984-3766"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.