NPIMap

Organization Active NPI

Strongbridge Integrated Solutions LLC

Doing business as strongbridge autism centre

  • Cognitive & Behavioral Psychologist
  • Las Vegas, NV
National Provider Identifier
1215749163
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
STRONGBRIDGE INTEGRATED SOLUTIONS LLC
Doing business as
strongbridge autism centre
Practice address
4442 Avery Park Ave
Las Vegas, NV 89110-5488
Phone
(702) 541-4817
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STRONGBRIDGE INTEGRATED SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Olugbenga ObajuwonloNPI 1689245961
Title
MD
Phone
(702) 541-4817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU Primary
Assistant Behavior Analyst 106E00000X NU

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 autism centre 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1215749163",
    "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",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "OBAJUWONLO",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-541-4817"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "strongbridge autism centre",
            "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 Jan 27, 2025; 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.