| Optimum Mental Healthcare Professionals, Pllc | |
|
804 West Blvd Rapid City SD 57701-3577 | |
| (605) 431-5806 | |
| Not Available |
| Full Name | Optimum Mental Healthcare Professionals, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 804 West Blvd, Rapid City, South Dakota |
| Authorized Official Name and Position | Laura Schirber (OWNER) |
| Authorized Official Contact | 6054315806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Mental Healthcare Professionals, Pllc 323 E Enchanted Pines Dr Rapid City SD 57701-9263 Ph: (605) 431-5806 | Optimum Mental Healthcare Professionals, Pllc 804 West Blvd Rapid City SD 57701-3577 Ph: (605) 431-5806 |
| NPI Number | 1285358598 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 0042678336 |
|---|---|
| Medicare Enrollment ID | O20230619001088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285358598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Oberloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699159186 PECOS PAC ID: 9830404268 Enrollment ID: I20150813012603 |
| Provider Name | Laura M Schirber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669848925 PECOS PAC ID: 0941518690 Enrollment ID: I20150930001762 |
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