Optum Behavioral Care of New Jersey P C

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

OPTUM BEHAVIORAL CARE OF NEW JERSEY P C

Practice address

150 S 5TH St Ste 825
Minneapolis, MN 55402-4200

Phone

(877) 441-0121

Fax

(877) 441-4413

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Amanda Stacey Bronson

Title

Authorized Official

Phone

(978) 222-3121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1366061723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 825",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024200",
            "telephone_number": "877-441-0121",
            "fax_number": "877-441-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 825",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024200",
            "telephone_number": "877-441-0121",
            "fax_number": "877-441-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF NEW JERSEY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "STACEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "978-222-3121"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diana M Oramas Mogrovejo, M.D.
• Lily Orbe

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.