Organization Active NPI

MJB View LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1487223236
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MJB VIEW LLC
Practice address
9863 Vista Meadows Ave
Las Vegas, NV 89148-5780
Phone
(702) 969-1774
Fax
(725) 240-7710
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Mojisola R Balogun, PMHNP-BC, FNP-BC
Title
Owner of Entity
Phone
(702) 969-1774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9863 Vista Meadows Ave
Las Vegas, NV 89148-5780

Mailing address

9863 Vista Meadows Ave
Las Vegas, NV 89148-5780
Phone (702) 969-1774

National Provider Directory

National Provider Directory

Locations

8275 S Eastern Ave
Ste 200755
Las Vegas, NV 89123
Phone (702) 969-1774

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1487223236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9863 VISTA MEADOWS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485780",
            "telephone_number": "702-969-1774",
            "fax_number": "725-240-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9863 VISTA MEADOWS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485780",
            "telephone_number": "702-969-1774",
            "fax_number": "725-240-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJB VIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "MOJISOLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "702-969-1774",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2021; 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.