Active NPI
Optimum Care Solutions LLC
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1033864806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OPTIMUM CARE SOLUTIONS LLC
- Practice address
- 1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045 - Phone
- (800) 922-7656
- NPI assigned
- Feb 19, 2022
- Last updated
- Nov 1, 2022
- 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
- India Samuels, NP
- Title
- Nurse Practitioner
- Phone
- (480) 442-4647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Mailing address
1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone (800) 922-7656
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | info@optimumcaresolutionsllc.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1407283294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1033864806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 S HIGLEY RD STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852965045",
"telephone_number": "800-922-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 S HIGLEY RD STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852965045",
"telephone_number": "800-922-7656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM CARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-19",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "INDIA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "480-442-4647",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "info@optimumcaresolutionsllc.com",
"affiliation": "N",
"address_1": "1525 S Higley Rd Ste 104",
"city": "Gilbert",
"state": "AZ",
"country_code": "US",
"postal_code": "852965045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.