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

Last updated

Jul 12, 2021By 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

Mary A Harris, LCSWNPI 1558488999

Title

Executive Director

Phone

(215) 356-9321

Specialties & licenses 1

Addresses

Other names 1

• Eldercall Other name

Practitioners 2

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.

• Mary A. Harris, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1558488999
  Authorized official Same address or phone
• 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.