NPIMap

Organization Active NPI

Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1730972944
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.
Practice address
10 Dorrance St
Providence, RI 02903-2018
Phone
(877) 622-0013
NPI assigned
May 28, 2025
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Jamie DupuyNPI 1811935174
Title
President
Phone
(844) 422-5386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

10 Dorrance St
Providence, RI 02903-2018

Mailing address

1 Optum Cir
Eden Prairie, MN 55344-2956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311000275 RI Part B Supplier - Clinic/Group Practice 9436502879 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, RI; East Providence, RI; Warwick, RI; Providence, RI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optum Behavioral Care of CT16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

850 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 758-2296

900 Straits Tpke
Ste 203A
Middlebury, CT 06762

415 Boston Post Rd
Ste 3519
Milford, CT 06460
Phone (203) 527-0214

200 W Town St
Norwich, CT 06360
Phone (860) 886-1508

152 Sylvan St
Fl 2A
Danvers, MA 01923
Phone (603) 472-2846

259 Elm St
Ste 201
Somerville, MA 02144
Phone (217) 820-1062

1777 Sentry Pkwy W
Ste 300
Blue Bell, PA 19422
Phone (215) 767-7096

1100 Ashwood Dr
Ste 1101
Canonsburg, PA 15317
Phone (412) 398-1107

144 Emeryville Dr
Ste 120
Cranberry Twp, PA 16066
Phone (412) 921-3908

920 W Chester Pike
Havertown, PA 19083

309 N Sumneytown Pike
North Wales, PA 19454
Phone (215) 767-7096

1420 Walnut St
Ste 802
Philadelphia, PA 19102
Phone (267) 629-5334

5840 Ellsworth Ave
Ste 104
Pittsburgh, PA 15232
Phone (412) 628-1326

969 Greentree Rd
Ste 320
Pittsburgh, PA 15220
Phone (216) 797-6483

241 Rohrerstown Rd
Rohrerstown, PA 17603
Phone (717) 397-9555

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

294 Pleasant Acres Rd
York, PA 17402
Phone (406) 546-2377

245 Waterman St
Ste 200
Providence, RI 02906
Phone (401) 351-7779

300 Centerville Rd
Ste 103
Warwick, RI 02886
Phone (401) 271-2339

Practitioners & affiliated clinicians

Practitioners 358

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.

View all 358

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1730972944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032018",
            "telephone_number": "877-622-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "DUPUY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-422-5386"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.