Optimal Mental Health Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPTIMAL MENTAL HEALTH GROUP LLC

Practice address

1800 N Charles St Ste 406
Baltimore, MD 21201-5909

Phone

(443) 801-2233

NPI assigned

May 13, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly White, CRNP-PMH-BCNPI 1730769647

Title

Medical Director.

Phone

(443) 801-2233

Specialties & licenses 5

Addresses

Electronic endpoints 2

Practitioners 2

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

• Kimberly Renee White, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1730769647
  NPD Authorized official
• Josie Dantzler, CRNP

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1992219885
  NPD (past)

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1851038632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 STREAMWAY CT",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076093",
            "telephone_number": "443-801-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST STE 406",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015909",
            "telephone_number": "443-801-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MENTAL HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR.",
        "authorized_official_telephone_number": "443-801-2233",
        "authorized_official_credential": "CRNP-PMH-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "na",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "1800 N Charles St Ste 406",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212015909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1800 N Charles St Ste 406",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212015909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika Opoku, PT, DPT
• Carl Justin Oppenheim, D.D.S.
• Terisa Oppong
• Optical Industries
• Optilens Vision Center
• Optimal Quality Health Solutions LLC
• Optimistic Hope Therapeutic Services LLC
• Optimum Care Center
• Optimum Family Clinic
• Optimum Health Systems Inc

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.