Optum Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OPTUM WELLNESS CENTER LLC

Doing business as

Optum Mental Wellness

Practice address

7959 NW 2ND St
Miami, FL 33126-8000

Phone

(305) 309-0088

Fax

(305) 309-0099

NPI assigned

Dec 14, 2024

Last updated

Dec 18, 2024By 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

Rosalba Carvajal

Title

Ceo

Phone

(305) 309-0088

Specialties & licenses 1

Addresses

Other names 1

• OPTUM MENTAL WELLNESS Doing business as

Tax ID family

Optum Mental Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optum Wellness Center LLC

  dba Optum Mental Wellness

  • Case Management Agency
  • Miami, FL
  • NPI 1922816396
  NPD tax ID

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1891502761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551406",
            "telephone_number": "305-309-0088",
            "fax_number": "305-309-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268000",
            "telephone_number": "305-309-0088",
            "fax_number": "305-309-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-309-0088"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTUM MENTAL WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPTUM MENTAL WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimus Mso I LLC
• Optimus Mso II Inc
• Option Med Services Corp
• Optionone Holdings LLC
• Optometric Excellence LLC (Dr Constance Myers)
• Optum Wellness Center LLC (Optum Mental Wellness)
• Opus Behavior Therapy Corp
• Opus Mental Health Center LLC
• Opus Mental Health Center LLC
• Opuscare of Florida LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.