Active NPI
Optimize Cognitive Care, LLC
- Geriatric Psychiatry Physician
- Middletown, OH
National Provider Identifier
1336909092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- OPTIMIZE COGNITIVE CARE, LLC
- Practice address
- 3420 Atrium Blvd Ste 160
Middletown, OH 45005-5186 - Phone
- (602) 206-4018
- NPI assigned
- Mar 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Geoffrey B Walton
- Title
- Ceo
- Phone
- (602) 206-4018
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Neurology Physician | 2084N0400X | |||
| Psychiatry Physician | 2084P0800X | |||
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
3420 Atrium Blvd Ste 160
Middletown, OH 45005-5186
Mailing address
42 Buckmaster Dr
Concord, MA 01742-2810
Phone (602) 206-4018
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Plymouth, MN
- NPI 1982013835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1336909092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BUCKMASTER DR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422810",
"telephone_number": "602-206-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 ATRIUM BLVD STE 160",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055186",
"telephone_number": "602-206-4018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMIZE COGNITIVE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-206-4018",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.