Active NPI
Optimum Behavioral Care LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
National Provider Identifier
1679080584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.