Organization Active NPI

Optimum Behavioral Care, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1154618478
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPTIMUM BEHAVIORAL CARE, INC.
Practice address
12137 Dividing Oaks TRL E
Jacksonville, FL 32223-3242
Phone
(904) 410-6324
Fax
(855) 823-3434
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mr. Frank Morelli, M.A., L.M.H.C.NPI 1871598870
Title
President
Phone
(904) 410-6324

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12137 Dividing Oaks TRL E
Jacksonville, FL 32223-3242

Mailing address

PO Box 600100
Jacksonville, FL 32260-0100
Phone (904) 410-6324

National Provider Directory

National Provider Directory

Locations

501 State Road 13 N
Saint Johns, FL 32259

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": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1154618478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322600100",
            "telephone_number": "904-410-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12137 DIVIDING OAKS TRL E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322233242",
            "telephone_number": "904-410-6324",
            "fax_number": "855-823-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM BEHAVIORAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-410-6324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.