DR. JONATHAN WIRJO (NPI# 1265694673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265694673 |
Entity Type | Individual |
Full Name | DR. JONATHAN WIRJO |
Credential | DO |
Practice Address |
3016 W Charleston Blvd Suite 150 Las Vegas NV 89102-1977 |
Practice Telephone | 7027902701 |
Practice Fax Number | 7029934005 |
Mailing Telephone | 7027902701 |
Mailing Fax Number | 7029934005 |
Enumeration Date | 2008-06-26 |
Last Update Date | 2017-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DO1716 | NV | Allopathic & Osteopathic Physicians |
Street Address |
3016 W CHARLESTON BLVD SUITE 150 |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-1977 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487639837 | Shirley Yardley | Clinical Nurse Specialist | 3016 W Charleston Blvd, #180 Southern Nevada Neonatal Services Inc, Las Vegas, NV 89102 | 2005-12-08 |
1326474685 | Jon Failla | Registered Nurse | 3016 W Charleston Blvd, Suite 150, Las Vegas, NV 89102-1977 | 2013-09-18 |
1952532657 | Dr Adam Schwartz Ltd | Optometrist | 3016 W Charleston Blvd, Suite 180, Las Vegas, NV 89102-1977 | 2009-07-30 |
1912114257 | Cressman Dental Group, PC | Dentist | 3016 W Charleston Blvd, Ste 145, Las Vegas, NV 89102-1977 | 2007-05-17 |
1043347552 | Optical Ophthamic Associates | Ophthalmology | 3016 W Charleston Blvd, Suite 100, Las Vegas, NV 89102-1977 | 2007-02-28 |
1992881528 | Thomas T Connolly | Dentist | 3016 W Charleston Blvd, Las Vegas, NV 89102-1977 | 2006-10-27 |
1023194586 | Aman Sheikh | Dentist | 3016 W Charleston Blvd, Las Vegas, NV 89102-1977 | 2006-10-27 |
1548359920 | Adam A Schwartz | Optometrist | 3016 W Charleston Blvd, Suite 100, Las Vegas, NV 89102-1977 | 2006-10-12 |
1740237528 | Abbas R Kingo | Pediatrics | 3016 W Charleston Blvd, #180, Las Vegas, NV 89102-1944 | 2006-05-27 |
1265485825 | Ophthalmic Associates | Ophthalmology | 3016 W Charleston Blvd, Ste 100, Las Vegas, NV 89102-1944 | 2006-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1962054007 | The Strong Behavioral Health Group | Psychiatry & Neurology | 7100 Grand Montecito Pkwy Unit 4043, Las Vegas, NV 89149-0279 | 2019-07-09 |
1497223432 | Desert Behavioral Solutions LLC | Psychiatry & Neurology | 2121 E Flamingo Rd Ste 204, Las Vegas, NV 89119-5124 | 2018-11-07 |
1053814517 | Huntridge Family Clinic Foundation Dba Prism Health Services Foundatio | Psychiatry & Neurology | 7670 West Sahara Ave, Suite B, Las Vegas, NV 89117 | 2018-03-12 |
1184132375 | Nevada Psychiatric Solutions Clinic, LLC | Psychiatry & Neurology | 2121 E Flamingo Rd Ste 108, Las Vegas, NV 89119-5123 | 2018-01-22 |
1891205340 | Nevada Tms LLC | Psychiatry & Neurology | 7391 Prairie Falcon Rd Ste 150b, Las Vegas, NV 89128-0815 | 2017-10-10 |
1841721917 | Deepa Hasija Md Pllc | Psychiatry & Neurology | 4000 S Eastern Ave Ste 125, Las Vegas, NV 89119-0814 | 2017-03-21 |
1174973382 | Asma Farooq | Psychiatry & Neurology | 8845 W Flamingo Rd Ste 210, Las Vegas, NV 89147-8745 | 2016-06-18 |
1245609957 | Cynthia White | Psychiatry & Neurology | 9435 S Tenaya Way # B, Las Vegas, NV 89178-9237 | 2015-09-23 |
1629464243 | Mohamed Sharif | Psychiatry & Neurology | 9003 Greek Palace Ave, Las Vegas, NV 89178 | 2015-04-10 |
1689069585 | Ejine Okoroafor Md Ltd | Psychiatry & Neurology | 20 Meadowhawk Ln, Las Vegas, NV 89135-5201 | 2015-03-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.