Optimal Aging

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

OPTIMAL AGING

Practice address

1015 W Allens LN
Philadelphia, PA 19119-3316

Phone

(215) 356-9321

NPI assigned

Jun 26, 2021

Organization subpart

No

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

Authorized official

Name

Mary A Harris, LCSW

Title

Executive Director

Phone

(215) 356-9321

Specialties & licenses 1

Addresses

Other names 1

• Eldercall Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia Isadora Rivas, LCSW

  • Clinical Social Worker
  • Santa Monica, CA
  • NPI 1457058059
  NPD (past)

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1730759341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193316",
            "telephone_number": "215-356-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193316",
            "telephone_number": "215-356-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-356-9321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercall",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yaa D. Oppong, MD
• Opportunity Adkinson Project, Inc.
• Marcus Opraseuth, PHARM.D
• Anda Georgiana Oprea, DO
• Optima Homecare Sevices
• Optimal Anesthesia Solutions, PC
• Optimal Express Transport, LLC
• Optimal Health Therapy LLC
• Optimal Home Rehab, LLC
• Optimal Physical Therapy Gym LLC

• Adult Mental Health Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.