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NPI Code Detail

MEDICARE: OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.

MEDICARE: OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1023801230
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.
Provider Business Mailing Address
First Line : 1 OPTUM CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-2956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 SHATTUCK RD STE 250
Second Line :
City : ANDOVER
State : MA
Zip : 01810-2492
Country : US
Telephone Number : 877-622-0013
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JAMIE DUPUY
Credential :
Telephone Number : 844-422-5386
Provider Enumeration Date : 05/28/2025
Last Update Date : 02/15/2026

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Directions to “OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C. ” Practice Location

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