Optimal Mental Health Clinic

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

OPTIMAL MENTAL HEALTH CLINIC

Practice address

4760 S Pecos Rd
Las Vegas, NV 89121-6038

Phone

(725) 200-1050

NPI assigned

Feb 14, 2024

Last updated

Feb 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Munachi EzenwataNPI 1194356733

Title

Nurse Practitioner

Phone

(725) 200-1050

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

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.

• Munachi Queena Ezenwata, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1194356733
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1487419057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3055 SAINT ROSE PARKWAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "725-200-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "EZENWATA",
        "authorized_official_first_name": "MUNACHI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "725-200-1050"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optic Gallery Tropicana LLC
• Optical Ophthamic Associates
• Optima Healthcare
• Optimal Balance Womens Care LLP
• Optimal Embrace LLC
• Optimal TMS LLC
• Optimize Health LLC
• Optimize Physical Therapy and Performance
• Optimum Behavioral Care LLC
• Optimum Health Partners LLC

• Adult Mental Health Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Mental Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.