Active NPI
Optwell Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Haddon Heights, NJ
National Provider Identifier
1508615451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OPTWELL HEALTH SERVICES
- Practice address
- 2 White Horse Pike
Haddon Heights, NJ 08035-1294 - Phone
- (856) 304-4767
- NPI assigned
- May 14, 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
- Kathleen Powell
- Title
- Apn
- Phone
- (856) 304-4767
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2 White Horse Pike
Haddon Heights, NJ 08035-1294
Mailing address
233 Washington Ter
Audubon, NJ 08106-1627
Phone (856) 304-4767
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Camden, NJ
- NPI 1659094852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1508615451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 WASHINGTON TER",
"city": "AUDUBON",
"state": "NJ",
"postal_code": "081061627",
"telephone_number": "856-304-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WHITE HORSE PIKE",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351294",
"telephone_number": "856-304-4767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTWELL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "APN",
"authorized_official_telephone_number": "856-304-4767"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haddon Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.