NPIMap

Organization Active NPI

Optimistic Wellness LLC

Doing business as Consumer Protection Law

  • Psychiatry Physician
  • Topeka, KS
National Provider Identifier
1043083413
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OPTIMISTIC WELLNESS LLC
Doing business as
Consumer Protection Law
Dequan' Dr. Dequan'
Practice address
5119 NW Kendall CT
Topeka, KS 66618-1269
Phone
(785) 817-1893
Fax
(785) 587-0009
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Dr. Sheldon B Haynes, M.D.NPI 1083490502
Title
Consultant
Phone
(785) 817-1893

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0301X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Health Information TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247000000X
Case Management Agency 251B00000X
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X

Addresses

Primary practice location

5119 NW Kendall CT
Topeka, KS 66618-1269

Mailing address

5119 NW Kendall CT
Topeka, KS 66618-1269
Phone (785) 817-1893

Other identifiers 4

IdentifierTypeStateIssuer
KS04-64104MedicaidKS
KS-ASCX12NOtherKSOLD LICENCE
BH5617545MedicaidKS
BH5617545OtherKSDEA

Other names 2

  • Consumer Protection Law Doing business as
  • Dequan' Dr. Dequan' Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1043083413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 NW KENDALL CT",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666181269",
            "telephone_number": "785-817-1893",
            "fax_number": "785-578-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 NW KENDALL CT",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666181269",
            "telephone_number": "785-817-1893",
            "fax_number": "785-587-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMISTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "785-817-1893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KS04-64104",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD LICENCE",
            "identifier": "KS-ASCX12N",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH5617545",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "BH5617545",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consumer Protection Law",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dequan' Dr. Dequan'",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dequan' Dr. Dequan'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.