Active NPI
Optum Medical Services, PC
- Psychologist
- Warwick, RI
National Provider Identifier
1861881708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- OPTUM MEDICAL SERVICES, PC
- Practice address
- 475 Kilvert St
Suite 310
Warwick, RI 02886-1379 - Phone
- (401) 732-7172
- NPI assigned
- Jan 15, 2015
- 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
- Dr. Ronald Shumacher, MD
- Title
- President
- Phone
- (240) 683-5331
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Phlebotomy Technician | 246RP1900X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Clinical Nurse Specialist | 364SA2200X |
Addresses
Primary practice location
475 Kilvert St
Suite 310
Warwick, RI 02886-1379
Mailing address
9800 Health Care LN
Minnetonka, MN 55343-4542
Phone (615) 224-5440
National Provider Directory
National Provider DirectoryLocations
475 Kilvert St
Ste 310
Warwick, RI 02886
Phone (401) 732-7172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478044800000",
"number": "1861881708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 HEALTH CARE LN",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434542",
"telephone_number": "615-224-5440",
"fax_number": "855-249-6092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 KILVERT ST",
"address_2": "SUITE 310",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861379",
"telephone_number": "401-732-7172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2016-11-02",
"status": "A",
"authorized_official_last_name": "SHUMACHER",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-683-5331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.