Vested Optimium Community Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

VESTED OPTIMIUM COMMUNITY SERVICES

Practice address

8775 M- Centre Park Drive
# 515
Columbia, MD 21045

Phone

(410) 913-3122

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stephany Stevens

Title

Ceo

Phone

(410) 913-3122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1336279793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 M- CENTRE PARK DRIVE",
            "address_2": "# 515",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-913-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 M- CENTRE PARK DRIVE",
            "address_2": "# 515",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-913-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTED OPTIMIUM COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "STEPHANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-913-3122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Adrianus Verhoeven, DPT
• Maryadelle Veridiano
• Divya Verma, M.D.
• Matthew T Vermillion, PT
• Vesica Pisces Wellness LLC
• Via Clinic, LLC
• Melitza Itzel Victoria Escobar
• Joshua Benjamin Vidmar
• Kara Nichole Vielandi, DNP
• Brianna Lynn Viens, M.AC, L.AC., LMT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbia, MD
• Providers in Columbia, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.