Active NPI
Holbrook'S Optimal Mental Health Services PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paris, KY
National Provider Identifier
1063017010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HOLBROOK'S OPTIMAL MENTAL HEALTH SERVICES PLLC
- Practice address
- 2017 Main St Ste 7
Paris, KY 40361-1167 - Phone
- (606) 315-3591
- NPI assigned
- Nov 30, 2020
- 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
- Barbara J Holbrook, PMHNP
- Title
- Owner
- Phone
- (606) 315-3591
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2017 Main St Ste 7
Paris, KY 40361-1167
Mailing address
18312 W US Highway 60
Olive Hill, KY 41164-6827
Phone (606) 315-3591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285269340 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
2017 Main St
Ste 7
Paris, KY 40361
Phone 6067482648606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Huntington, WV
- NPI 1285269340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1063017010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18312 W US HIGHWAY 60",
"city": "OLIVE HILL",
"state": "KY",
"postal_code": "411646827",
"telephone_number": "606-315-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 MAIN ST STE 7",
"city": "PARIS",
"state": "KY",
"postal_code": "403611167",
"telephone_number": "606-315-3591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLBROOK'S OPTIMAL MENTAL HEALTH SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "HOLBROOK",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-315-3591",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285269340",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.