Organization Active NPI

Optimum Behavioral Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1679080584
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OPTIMUM BEHAVIORAL CARE LLC
Practice address
2797 S Maryland Pkwy Ste 13
Las Vegas, NV 89109-1576
Phone
(702) 210-9896
NPI assigned
Jan 2, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Philip Ade Ojo
Title
Managing Partner
Phone
(702) 210-9896

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

2797 S Maryland Pkwy Ste 13
Las Vegas, NV 89109-1576

Mailing address

P O Box 370488
Las Vegas, NV 89137
Phone (702) 210-9896

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2018.

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1679080584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 370488",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89137",
            "telephone_number": "702-210-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 S MARYLAND PKWY STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091576",
            "telephone_number": "702-210-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ADE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-210-9896"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Jan 2, 2018; 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.