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OPTUM MEDICAL SERVICES P.C. NPI 1023409273


NPI Information

NPI: 1023409273
Provider Name: OPTUM MEDICAL SERVICES, P.C.
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
11000 OPTUM CIR
EDEN PRAIRIE, MN
ZIP 55344
Phone: (503) 746-0048
Get Directions

OPTUM MEDICAL SERVICES, P.C. is a health service psychologist in Eden Prairie, MN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). OPTUM MEDICAL SERVICES, P.C. NPI is 1023409273. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11000 OPTUM CIR
EDEN PRAIRIE, MN
ZIP 55344-503
Phone: (503) 746-0048

The provider's authorized official is Ronald J. Shumacher .
The authorized official title is Owner and has the following contact phone number (240) 683-5331.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2363LG0600XNurse PractitionerGerontologyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4103TP0016XPsychologistPrescribing (Medical)No
5246RP1900XTechnician, PathologyPhlebotomyNo
6103TH0100XPsychologistHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.