Healthcare Provider Details

I. General information

NPI: 1992165021
Provider Name (Legal Business Name): OPYA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2016
Last Update Date: 12/14/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CONCAR DR STE 4-134
SAN MATEO CA
94402-2681
US

IV. Provider business mailing address

400 CONCAR DR STE 4-134
SAN MATEO CA
94402-2681
US

V. Phone/Fax

Practice location:
  • Phone: 650-931-6300
  • Fax:
Mailing address:
  • Phone: 650-931-6300
  • Fax: 650-228-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ALDEN ROMNEY
Title or Position: CEO
Credential:
Phone: 650-931-6300