Active NPI
Optimum Behavioral Services Group
- Psychiatric/Mental Health Nurse Practitioner
- Newburgh, NY
National Provider Identifier
1720842040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OPTIMUM BEHAVIORAL SERVICES GROUP
- Practice address
- 5020 Route 9W Ste 103 # 7
Newburgh, NY 12550 - Phone
- (443) 557-8519
- NPI assigned
- Feb 7, 2024
- Last updated
- Feb 7, 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
- Mutinta Chestnut
- Title
- Owner
- Phone
- (443) 557-8519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5020 Route 9W Ste 103 # 7
Newburgh, NY 12550
Mailing address
5020 Route 9W Ste 103 # 7
Newburgh, NY 12550
Phone (443) 557-8519
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, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1427320159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1720842040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 ROUTE 9W STE 103 # 7",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "443-557-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 ROUTE 9W STE 103 # 7",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "443-557-8519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM BEHAVIORAL SERVICES GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "CHESTNUT",
"authorized_official_first_name": "MUTINTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-557-8519"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.