Optimal Brain Mn, PLLC
NPI 1609614957ActiveOrganization· Psychologist, Clinical· Oakdale, MN
Psychologist, Clinical in Oakdale, Minnesota, registered in NPPES in July 2024. The authorized official on file is Calsey Fasching, Founder. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609614957 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2024 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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