NPIMap

Organization Active NPI

Optimal Behavioral Health Services LLC

Doing business as Optimal Behavioral Health Services

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Manchester, NH
National Provider Identifier
1063127645
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
OPTIMAL BEHAVIORAL HEALTH SERVICES LLC
Doing business as
Optimal Behavioral Health Services
Practice address
835 Hanover St Ste 305
Manchester, NH 03104-5401
Phone
(603) 784-9012
Fax
(603) 784-9012
NPI assigned
Jan 18, 2023
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Susan Sherr
Title
Billing Administrator
Phone
(603) 472-4690

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X NU Primary

Addresses

Primary practice location

835 Hanover St Ste 305
Manchester, NH 03104-5401

Mailing address

835 Hanover St Ste 305
Manchester, NH 03104-5401
Phone (603) 784-9012

Other practice location 1

35 Godfrey Ln
Fremont, NH 03044-3055
Phone (978) 419-1403

Other names 1

  • Optimal Behavioral Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240910000509 NH Part B Supplier - Clinic/Group Practice 8729528468 Receives reassigned benefits from 10 practitioners
Practice locations: Candia, NH; Fremont, NH; Manchester, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2326941Optimal Behavioral Health Services, LLC835 Hanover St, Manchester, NH 03104Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

835 Hanover St
Ste 305
Manchester, NH 03104
Phone (603) 770-6783

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1063127645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST STE 305",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-784-9012",
            "fax_number": "603-784-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST STE 305",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-784-9012",
            "fax_number": "603-784-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Godfrey Ln",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NH",
            "postal_code": "030443055",
            "country_code": "US",
            "telephone_number": "978-419-1403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "SHERR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "603-472-4690"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.