NPIMap

Organization Active NPI

Pioneer Pediatrics Wellness Center

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1720949746
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PIONEER PEDIATRICS WELLNESS CENTER
Practice address
4840 E Bonanza Rd Ste 5
Las Vegas, NV 89110-3453
Phone
(702) 370-7842
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Priscilla Vernice Otoo-Adjorlolo, LCSW
Title
Clinical Director
Phone
(702) 370-7842

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4840 E Bonanza Rd Ste 5
Las Vegas, NV 89110-3453

Mailing address

4840 E Bonanza Rd Ste 5
Las Vegas, NV 89110-3453
Phone (702) 370-7842

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Pediatrics Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1720949746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 E BONANZA RD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103453",
            "telephone_number": "702-370-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 E BONANZA RD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103453",
            "telephone_number": "702-370-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PEDIATRICS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "OTOO-ADJORLOLO",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "VERNICE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-370-7842",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children 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 Nov 19, 2025; 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.