Active NPI
Optimum Family Treatment Services
- Adolescent and Children Mental Health Clinic/Center
- Norfolk, VA
National Provider Identifier
1538869078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.