Optimal Vitality
Optimal Vitality is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Burr Ridge, IL, holding Type 2 (organization) NPI 1457131328 since 2023. The authorized official on file is Brandi Boan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457131328 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Optimal Vitality |
| Practice address | 200 S FRONTAGE RD STE 324, Burr Ridge, IL, 60527 |
| Phone | 6303601173 |
| Fax | 3319922358 |
| Enumeration date | 2023-09-29 |
| Last updated in NPPES | 2023-09-29 |
Authorized official
| Name | Brandi Boan |
|---|---|
| Title | Owner |
| Phone | 6306492819 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 103TC0700X | Clinical Psychologist | Secondary | — | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | Secondary | — | — |
| 103TP0016X | Prescribing (Medical) Psychologist | Secondary | — | — |
| 133N00000X | Nutritionist | Secondary | — | — |
| 261QH0100X | Health Service Clinic/Center | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Optimal Vitality NPI: 1457131328 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 200 S FRONTAGE RD STE 324, Burr Ridge, IL, 60527
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033121124 | Kenneth Fogel | Individual | Clinical Psychologist | Burr Ridge, IL |
| 1831703271 | Boules Clinical Psychology Group | Organization | Prescribing (Medical) Psychologist | Burr Ridge, IL |
| 1053166157 | Dr. Nancy Healy Haney and Associates, Pllc | Organization | Community/Behavioral Health Agency | Burr Ridge, IL |
Verify this record
Cross-check NPI 1457131328 against the authoritative CMS record: view Optimal Vitality on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Optimal Vitality?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-29.