Optimus Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPTIMUS BEHAVIORAL HEALTH LLC

Practice address

4600 E Washington St Ste 300
Phoenix, AZ 85034-1908

Phone

(480) 840-4777

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Flora Issanda Stowater, PSYCH NPNPI 1700274321

Title

Owner/Provider

Phone

(480) 840-4777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Flora Issanda Stowater, NP

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1700274321

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1073393153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853390697",
            "telephone_number": "480-840-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E WASHINGTON ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341908",
            "telephone_number": "480-840-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "ISSANDA STOWATER",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "480-840-4777",
        "authorized_official_credential": "PSYCH NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700274321",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optimus Behavioral Health LLC
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• Optum Behavioral Care of Colorado, P.C.
• Optum Infusion Clinic, LLC
• Optum Palliative and Hospice Care, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.