Active NPI
Juan Pablo Mozo Torres
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1982155446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2780 S Jones Blvd
Suite 115
Las Vegas, NV 89146-5628 - Phone
- (702) 323-1323
- NPI assigned
- Oct 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2780 S Jones Blvd
Suite 115
Las Vegas, NV 89146-5628
Mailing address
4650 W Oakey Blvd
Apt 2119
Las Vegas, NV 89102-1510
Phone (786) 715-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Mind Centers LLC | Past | Accepting new patients | |
| Balanced Mind Centers LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1093170714
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Las Vegas, NV
- NPI 1629557509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1982155446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W OAKEY BLVD",
"address_2": "APT 2119",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021510",
"telephone_number": "786-715-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 S JONES BLVD",
"address_2": "SUITE 115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465628",
"telephone_number": "702-323-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZO TORRES",
"first_name": "JUAN",
"middle_name": "PABLO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"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 Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.