NPIMap

Organization Active NPI

Strongbridge Integrated Solutions LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1114701760
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRONGBRIDGE INTEGRATED SOLUTIONS LLC
Doing business as
Strongbridge behavioral solutions
Practice address
4442 Avery Park Ave
Las Vegas, NV 89110-5488
Phone
(702) 541-4817
NPI assigned
Aug 23, 2023
Organization subpart
Yes
Parent organization
STRONGBRIDGE INTEGRATED SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Olugbenga Akinwale Obajuwonlo, MD
Title
Ceo
Phone
(702) 934-0219

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4442 Avery Park Ave
Las Vegas, NV 89110-5488

Mailing address

4442 Avery Park Ave
Las Vegas, NV 89110-5488
Phone (702) 541-4817

Other names 1

  • Strongbridge behavioral solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Strongbridge Integrated Solutions LLC4 organizations share this tax ID, including this one
Part of
Strongbridge Integrated Solutions LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1114701760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 AVERY PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105488",
            "telephone_number": "702-541-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 AVERY PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105488",
            "telephone_number": "702-541-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONGBRIDGE INTEGRATED SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRONGBRIDGE INTEGRATED SOLUTIONS LLC",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "OBAJUWONLO",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "AKINWALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-934-0219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strongbridge behavioral solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.