Organization · NPI-2

Optum Medical Services, PC

Psychologist · Warwick, RI

NPI number1861881708

StatusActive

Last updated in NPPESNov 2, 2016

Details

NPI: 1861881708
Entity type: Organization (NPI-2)
Legal business name: Optum Medical Services, PC
Organization subpart: No
Enumeration date: Jan 15, 2015
Last updated: Nov 2, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103T00000X	Psychologist	–	–	Yes
246RP1900X	Technician, Pathology, Phlebotomy	–	–
1041C0700X	Social Worker, Clinical	–	–
104100000X	Social Worker	–	–
207Q00000X	Family Medicine	–	–
251J00000X	Nursing Care	–	–
251S00000X	Community/Behavioral Health	–	–
261QR0400X	Clinic/Center, Rehabilitation	–	–
363L00000X	Nurse Practitioner	–	–
364SA2200X	Clinical Nurse Specialist, Adult Health	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
207R00000X	Internal Medicine	–	–

Practice location

475 Kilvert St
Suite 310
Warwick, RI 02886-1379

Phone 401-732-7172

Mailing address

9800 Health Care Ln
Minnetonka, MN 55343-4542

Phone 615-224-5440 · Fax 855-249-6092

Authorized official

Ronald Shumacher
President
2406835331

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