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Optimal Vitality
Adult Mental Health Clinic/Center in Burr Ridge, Illinois
NPI 1457131328

Optimal Vitality is an Adult Mental Health Clinic/Center based in Burr Ridge, IL and is specialized in Adult Mental Health. Optimal Vitality practices in Burr Ridge, IL. The NPI Number for Optimal Vitality is 1457131328 and holds a License No. (Illinois).

The current practice location address for Optimal Vitality is 200 S Frontage Rd Ste 324, Burr Ridge, IL and can be reached out via phone at 630-360-1173 and via fax at 331-992-2358. You can also correspond with Optimal Vitality through the mailing address at 200 S FRONTAGE RD STE 324, BURR RIDGE, IL - 60527-6953 (mailing address contact number: 630-360-1173).

Location: 200 S Frontage Rd Ste 324, Burr Ridge, IL, 60527-6953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457131328
Provider Name
Optimal Vitality
Credential
Provider Entity Type
Organization
Address
200 S Frontage Rd Ste 324, Burr Ridge, IL, 60527-6953
Phone Number
630-360-1173
Fax Number
331-992-2358
Provider Enumeration Date
09/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
200 S Frontage Rd Ste 324
City
Burr Ridge
State
Illinois
Zip
60527-6953
Phone Number
630-360-1173
Fax Number
331-992-2358
person
Provider Business Mailing Address Details
Address
200 S Frontage Rd Ste 324
City
Burr Ridge
State
Illinois
Zip
60527-6953
Phone Number
630-360-1173
Fax Number
331-299-2358
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 4
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
-
Taxonomy
133N00000X
License No.
()
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
2084P0005X
License No.
()
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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