Vita Bridge Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VITA BRIDGE HEALTH LLC

Practice address

15150 W Park PL FL 2
Goodyear, AZ 85395-2385

Phone

(480) 207-0296

Fax

(480) 546-3290

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Olajumoke JongboNPI 1881262509

Title

RN/Pmhnp

Phone

(480) 207-0296

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olajumoke Omolola Jongbo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Maricopa, AZ
  • NPI 1881262509
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1952104622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 W PARK PL FL 2",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952385",
            "telephone_number": "480-207-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 W PARK PL FL 2",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952385",
            "telephone_number": "480-207-0296",
            "fax_number": "480-546-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA BRIDGE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "JONGBO",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "RN/PMHNP",
        "authorized_official_telephone_number": "480-207-0296"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Vieth
• Anaid Villa, PT, DPT
• Mila Villa B Virmond, PHARMD
• Visions of Hue LLC
• Visionworks Inc (Visionworks)
• Vitalis Health Solutions LLC
• Cynthia Vlosic, R.PH., M.B.A.
• Ann M Voght, PA-C
• Sierra Delaney Voice-Robinson, DO
• Tracy Von Aspen, FNP

• Psychiatric/Mental Health Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.