NPIMap

Organization Active NPI

Optimal Psychiatry and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1295379121
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OPTIMAL PSYCHIATRY AND WELLNESS
Practice address
8019 Corporate Dr Ste C
Nottingham, MD 21236-4917
Phone
(410) 505-7952
Fax
(410) 701-3845
NPI assigned
Nov 4, 2019
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Fabius SantosNPI 1316500499
Title
Psychiatric Nurse Practitioner
Phone
(410) 505-7952

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8019 Corporate Dr Ste C
Nottingham, MD 21236-4917

Mailing address

8019 Corporate Dr Ste C
Nottingham, MD 21236-4917
Phone (410) 505-7952

National Provider Directory

National Provider Directory

Locations

8019 Corporate Dr
Ste C
Nottingham, MD 21236
Phone (410) 505-7952

9309 Belair Rd
Ste D
Nottingham, MD 21236
Phone (410) 505-7952

9712 Belair Rd
Ste LL2
Nottingham, MD 21236

Practitioners & affiliated clinicians

Practitioners 10

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1295379121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 CORPORATE DR STE C",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364917",
            "telephone_number": "410-505-7952",
            "fax_number": "410-701-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 CORPORATE DR STE C",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364917",
            "telephone_number": "410-505-7952",
            "fax_number": "410-701-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PSYCHIATRY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "FABIUS",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-505-7952"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.