Organization Active NPI

Optimum Family Treatment Services

  • Adolescent and Children Mental Health Clinic/Center
  • Norfolk, VA
National Provider Identifier
1538869078
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
OPTIMUM FAMILY TREATMENT SERVICES
Practice address
900 Granby St Ste 140
Norfolk, VA 23510-2534
Phone
(757) 756-5208
Fax
(757) 524-4353
NPI assigned
Mar 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Mr. Walter Thomas Jr., M.ED, QMHP-C/A
Title
Ceo
Phone
(757) 831-1644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

900 Granby St Ste 140
Norfolk, VA 23510-2534

Mailing address

900 Granby St Ste 140
Norfolk, VA 23510-2534
Phone (757) 831-1644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1538869078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 140",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102534",
            "telephone_number": "757-831-1644",
            "fax_number": "757-524-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 140",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102534",
            "telephone_number": "757-756-5208",
            "fax_number": "757-524-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM FAMILY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-831-1644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.ED, QMHP-C/A"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.