Organization Active NPI

Optimal Behavioral Health

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1992374896
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OPTIMAL BEHAVIORAL HEALTH
Practice address
7203 Monarda CT
Raleigh, NC 27616-8697
Phone
(919) 793-5862
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Sylvia Ezewuzie, NPNPI 1013504356
Title
Psychiatric Nurse Practitioner
Phone
(919) 793-5862

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7203 Monarda CT
Raleigh, NC 27616-8697

Mailing address

7203 Monarda CT
Raleigh, NC 27616-8697
Phone (919) 793-5862

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1992374896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 MONARDA CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168697",
            "telephone_number": "919-793-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 MONARDA CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168697",
            "telephone_number": "919-793-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "EZEWUZIE",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PSYCHIATRIC  NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-793-5862",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.