Organization Active NPI

Optum Wellness Center LLC

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1922816396
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OPTUM WELLNESS CENTER LLC
Practice address
7959 NW 2ND St
Miami, FL 33126-8000
Phone
(305) 309-0088
Fax
(305) 309-0099
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7959 NW 2ND St
Miami, FL 33126-8000

Mailing address

7959 NW 2ND St
Miami, FL 33126-8000
Phone (305) 309-0088

Other names 1

  • OPTUM MENTAL WELLNESS Doing business as

National Provider Directory

National Provider Directory
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.

Locations

7959 NW 2nd St
Miami, FL 33126
Phone (305) 267-6060

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1922816396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2024-12-18",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTUM MENTAL WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • 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.