NPI 1043083413 · live from the CMS NPI Registry
Optimistic Wellness LLC
Psychiatry & Neurology, Psychiatry in Topeka, KS. National Provider Identifier 1043083413, active.
NPI record
| NPI | 1043083413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 5119 Nw Kendall Ct, Topeka, KS 66618 |
| Practice phone | 785-817-1893 |
| Enumerated | November 6, 2023 |
| Last updated | December 12, 2024 |
| Authorized official | Sheldon Haynes, Consultant |
| Other names | Dequan' Dr. Dequan'; Consumer Protection Law |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | — |
| Psychiatry & Neurology, Brain Injury Medicine | 2084P0301X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
| Technician, Health Information | 247000000X | — |
| Case Management | 251B00000X | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.