MEDICARE: OPTUM BEHAVIORAL CARE OF CALIFORNIA, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447137740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM BEHAVIORAL CARE OF CALIFORNIA, 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	:	2555 E COLORADO BLVD STE 308
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-6649
Country	:	US
Telephone Number	:	877-622-0013
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CHELSEA N HUMPHREY
Credential	:
Telephone Number	:	860-268-4152

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	12/18/2025

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