Individual provider Active NPI

Nabil Jouni, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1790700201
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7257 Issued in NV
Practice address
4045 S Buffalo
Suite A101, 159
Las Vegas, NV 89147-7480
Phone
(702) 000-0000
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7257 NV Primary

Addresses

Primary practice location

4045 S Buffalo
Suite A101, 159
Las Vegas, NV 89147-7480

Mailing address

4045 S Buffalo
Suite A101, 159
Las Vegas, NV 89147-7480

Other identifiers 1

IdentifierTypeStateIssuer
002019296MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001444 NV Practitioner - Psychiatry 9931183100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Counseling Associates IncGroup PAC ID 4486914975, 16 clinicians

Practice addresses (Care Compare)

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone (702) 474-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7257NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling Associates, Inc CurrentSince May 2, 2018 Accepting new patients
Bridge Counseling Associates, Inc CurrentSince May 2, 2018 Accepting new patients

Locations

1640 Alta Dr
Ste 4
Las Vegas, NV 89106
Phone (702) 474-6450

4221 McLeod Dr
Las Vegas, NV 89121
Phone (702) 474-6450

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1790700201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 S BUFFALO",
            "address_2": "SUITE A101, 159",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 S BUFFALO",
            "address_2": "SUITE A101, 159",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477480",
            "telephone_number": "702-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUNI",
        "first_name": "NABIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "7257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019296",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.