Optimus Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

OPTIMUS PSYCHIATRY, PLLC

Practice address

3019 Medlin Dr Ste 200
Arlington, TX 76015-2307

Phone

(682) 382-3435

Fax

(720) 794-8635

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sulaimon Adebimpe Bakre, MDNPI 1891256616

Title

Owner

Phone

(682) 248-4562

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sulaimon Adebimpe Bakre, MD

  • Psychiatry Physician
  • Arlington, TX
  • NPI 1891256616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1396519609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 MEDLIN DR STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152307",
            "telephone_number": "682-382-3435",
            "fax_number": "720-794-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MEDLIN DR STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152307",
            "telephone_number": "682-382-3435",
            "fax_number": "720-794-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "BAKRE",
        "authorized_official_first_name": "SULAIMON",
        "authorized_official_middle_name": "ADEBIMPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-248-4562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.