Organization Active NPI

Optimum Performance Solutions, LLC

  • Clinical Psychologist
  • Topeka, KS
National Provider Identifier
1265709026
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0665 Issued in KS
Legal business name
OPTIMUM PERFORMANCE SOLUTIONS, LLC
Practice address
2709 SW 29TH St
Suite 102
Topeka, KS 66614-2085
Phone
(785) 273-5373
Fax
(785) 273-1373
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Thomas V Matthews, PHD
Title
Managing Member
Phone
(785) 273-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0665 KS Primary

Addresses

Primary practice location

2709 SW 29TH St
Suite 102
Topeka, KS 66614-2085

Mailing address

2709 SW 29TH St
Suite 102
Topeka, KS 66614-2085
Phone (785) 273-5373

Other identifiers 1

IdentifierTypeStateIssuer
100238980CMedicaidKS

National Provider Directory

National Provider Directory

Locations

2709 SW 29th St
Ste 102
Topeka, KS 66614
Phone (785) 273-5373

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1265709026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 SW 29TH ST",
            "address_2": "SUITE 102",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142085",
            "telephone_number": "785-273-5373",
            "fax_number": "785-273-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 SW 29TH ST",
            "address_2": "SUITE 102",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142085",
            "telephone_number": "785-273-5373",
            "fax_number": "785-273-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PERFORMANCE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "785-273-5373",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238980C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 22, 2011; 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.