Optum Behavioral Care of Colorado, P.C.
NPI 1396622494ActiveOrganization· Social Worker, Clinical· De Pere, WI
Social Worker, Clinical in De Pere, Wisconsin, registered in NPPES in August 2025. The authorized official on file is Amanda Stacey Bronson, PSYD, Dir Gen Mgmt. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396622494 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2025 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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