Optimal Mind Institute

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

OPTIMAL MIND INSTITUTE

Practice address

1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793

Phone

(626) 765-3518

Fax

(626) 765-3532

NPI assigned

Dec 2, 2019

Organization subpart

No

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

Authorized official

Name

Roxanne Rena Prilutsky, PH.D.

Title

Ceo

Phone

(626) 765-3518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757808000000",
    "number": "1700423472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "626-765-3518",
            "fax_number": "626-765-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "626-765-3518",
            "fax_number": "626-765-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MIND INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "PRILUTSKY",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-765-3518",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.