Organization Active NPI

Johnson & Ballner LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1497660500
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOHNSON & BALLNER LLC
Practice address
2780 S Jones Blvd Ste 221
Las Vegas, NV 89146-5628
Phone
(320) 260-7472
NPI assigned
Aug 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Derek Johnson, NP, PMHNP
Title
Nurse Practitioner
Phone
(320) 260-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2780 S Jones Blvd Ste 221
Las Vegas, NV 89146-5628

Mailing address

2780 S Jones Blvd Ste 221
Las Vegas, NV 89146-5628
Phone (320) 260-7472

Other names 1

  • Quiet River Psychiatry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1497660500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 221",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "320-260-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 221",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "320-260-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & BALLNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "320-260-7472",
        "authorized_official_credential": "NP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quiet River Psychiatry",
            "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 19, 2026; 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.