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HOME OFFICE
NPI 1700575677
Nurse Practitioner - Psychiatric/Mental Health in Newburgh, NY

Active since May 05, 2023
5020 ROUTE 9W STE 103, NEWBURGH, NY 12550(443) 557-8519 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2023, Nov 8, 2023, Jul 13, 2023 and 1 more (4 updates tracked since 2023).

About Home Office NPPES

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

HOME OFFICE (NPI 1700575677) is a healthcare organization registered as a psychiatric/mental health in Newburgh, New York and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Woodlawn and lists Mutinta Chestnut, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1700575677
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOPTIMUM BEHAVIORAL SERVICES LLC
Location Address5020 ROUTE 9W STE 103Newburgh, NY 12550-7901
Mailing Address6340 Security Blvd Ste B-56Woodlawn, MD 21207-5173 · (443) 557-8519
Phone(443) 557-8519
Organization SubpartNo
Authorized OfficialMutinta ChestnutMedical Director · (443) 557-8519
Enumeration DateMay 5, 2023
Last NPPES UpdateDecember 4, 20234 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1700575677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5020 ROUTE 9W STE 103, Newburgh, NY 12550
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Other Names 1

Other NameHome Office

Secondary Practice Location 1

Location 16340 Security Blvd Ste B-56Woodlawn, MD 21207-5173 · Phone (443) 557-8519

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home Office is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Home Office, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Genevieve Ifeanyichukwu, NP
Nurse Practitioner
NPI 1528750205
2201 EASTERN BLVD STE A
Baltimore, MD 21220
(443) 531-4264
✔ PECOS✔ Accepts Medicare198 mi
Mutinta Chestnut, PMHNP
Nurse Practitioner
NPI 1427320159
5009 FRANKFORD AVE APT 832
Baltimore, MD 21206
(410) 325-4000
✔ PECOS✔ Accepts Medicare201 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optimum Behavioral Services LLC's NPI number?

The NPI number for Optimum Behavioral Services LLC is 1700575677. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is also known as Home Office.

Where is Optimum Behavioral Services LLC located?

Optimum Behavioral Services LLC is located at 5020 Route 9W Ste 103, Newburgh, NY 12550. The listed phone number is (443) 557-8519.

What is Optimum Behavioral Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Optimum Behavioral Services LLC enrolled in Medicare?

Yes. Optimum Behavioral Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Behavioral Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Optimum Behavioral Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optimum Behavioral Services LLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.