Provider Demographics
NPI:1336483742
Name:FOCUS MENTAL HEALTH SOLUTIONS BHUSHAN MANJOORAN WIRJO PLLC
Entity Type:Organization
Organization Name:FOCUS MENTAL HEALTH SOLUTIONS BHUSHAN MANJOORAN WIRJO PLLC
Other - Org Name:FOCUS MENTAL HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WIRJO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-417-4091
Mailing Address - Street 1:660 S GREEN VALLEY PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-0431
Mailing Address - Country:US
Mailing Address - Phone:702-790-2701
Mailing Address - Fax:702-790-2706
Practice Address - Street 1:8950 W TROPICANA AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8138
Practice Address - Country:US
Practice Address - Phone:702-790-2701
Practice Address - Fax:702-790-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0785103TC0700X
NV1041C0700X, 2084P0800X, 208M00000X, 363LP0808X
NV80622084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1336483742Medicaid
NVGW122AMedicare PIN