Optimum Behavioral Health, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OPTIMUM BEHAVIORAL HEALTH, INC.

Practice address

5384 Poplar Ave
Suite 313
Memphis, TN 38119-3609

Phone

(901) 237-0261

Fax

(901) 683-2058

NPI assigned

Nov 9, 2005

Last updated

Aug 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

W Edward Amos, PH.D.

Title

Owner

Phone

(901) 237-0261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilmer E Amos, PH.D.

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1134100712
  Medicare reassignment NPD
• Robert Bloom, PH.D.

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1730161910
  NPD (past)
• Diane Elizabeth Camp, PH.D.

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1649375619
  NPD (past)
• Jennifer Ann Stone, PH.D.

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1861473449
  NPD (past)
• James W Buechele, PHD

  • Psychologist
  • Hernando, MS
  • NPI 1184763229
  NPD (past)
• Sarah Bennett Lau, PH.D.

  • Clinical Psychologist
  • Olive Branch, MS
  • NPI 1801887591
  NPD (past)
• Russ Reynolds, PH.D.

  • Clinical Psychologist
  • Alexandria, VA
  • NPI 1114361037
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1689655268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE",
            "address_2": "SUITE 313",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193609",
            "telephone_number": "901-237-0261",
            "fax_number": "901-683-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE",
            "address_2": "SUITE 313",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193609",
            "telephone_number": "901-237-0261",
            "fax_number": "901-683-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-237-0261",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometry Group
• Kingsley Ogonna Oraedu, MD
• Linda Ijeoma Oraedu, M.D.

• Clinical Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.