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OPTIMAL VITALITY
NPI 1457131328
Clinic/Center - Mental Health (Including Community Mental Health Center) in Burr Ridge, IL

Active since September 29, 2023
200 S FRONTAGE RD STE 324, BURR RIDGE, IL 60527(630) 360-1173(331) 992-2358 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optimal Vitality NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL VITALITY (NPI 1457131328) is a healthcare organization registered as a mental health (including community mental health center) in Burr Ridge, Illinois and active in the NPI registry since September 2023. The organization lists Brandi Kristen Boan, Owner, as its authorized official.

NPPES Registry Identity

NPI1457131328
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameOPTIMAL VITALITY
Location Address200 S FRONTAGE RD STE 324Burr Ridge, IL 60527-6953
Mailing Address200 S Frontage Rd Ste 324Burr Ridge, IL 60527-6953 · (630) 360-1173 · Fax (331) 299-2358
Phone(630) 360-1173
Fax(331) 992-2358
Organization SubpartNo
Authorized OfficialBrandi Kristen BoanOwner · (630) 649-2819
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1457131328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
200 S FRONTAGE RD STE 324, Burr Ridge, IL 60527
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH ADAM FOGEL PSY D
Psychologist (Clinical)
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527
Dupage County (847) 347-0491
DR. NANCY HEALY HANEY AND ASSOCIATES, PLLC
Community/Behavioral Health
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527
Dupage County (262) 399-6529
BOULES CLINICAL PSYCHOLOGY GROUP
Psychologist (Prescribing (Medical))
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527
Dupage County (630) 321-9809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Vitality's NPI number?

The NPI number for Optimal Vitality is 1457131328. It was assigned to this organization in the NPPES registry on September 29, 2023.

Where is Optimal Vitality located?

Optimal Vitality is located at 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527. The listed phone number is (630) 360-1173.

What is Optimal Vitality's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Optimal Vitality was last updated on September 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.