Active NPI
Optimum Health Medical
- Community Health Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1992499172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- OPTIMUM HEALTH MEDICAL
- Practice address
- 5705 Lynnhaven Pkwy
Virginia Beach, VA 23464-9152 - Phone
- (814) 242-4178
- Fax
- (814) 479-5906
- NPI assigned
- Jun 8, 2023
- Last updated
- Jun 8, 2023
- 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
- Brad Griesheimer
- Title
- Coo
- Phone
- (814) 242-4178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Clinical Social Worker | 1041C0700X | |||
| General Practice Dentistry | 1223G0001X | |||
| Vision Therapy Optometrist | 152WV0400X | |||
| Peer Specialist | 175T00000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Case Management Agency | 251B00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Clinic Pharmacy | 3336C0002X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5705 Lynnhaven Pkwy
Virginia Beach, VA 23464-9152
Mailing address
3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 242-4178
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pastoral Counselor
- Johnstown, PA
- NPI 1720627805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1992499172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 CARPENTERS PARK RD",
"city": "DAVIDSVILLE",
"state": "PA",
"postal_code": "159289223",
"telephone_number": "814-242-4178",
"fax_number": "814-479-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 LYNNHAVEN PKWY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234649152",
"telephone_number": "814-242-4178",
"fax_number": "814-479-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "GRIESHEIMER",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "814-242-4178"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"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": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Optima Health Plan (Sentara Community Care Center)
- Optimal Behavioral, LLC
- Optimism Home Health Care Services, LLC (Optimism Home Care, LLC)
- Optimized Preferred Home Health
- Optimized Preferred Transport
- Optometric Services
- Caoimhe Oquinn
- Oral Surgery Associates
- Denise Renee Orazi
- Nelia A Orbeta, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.