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JUSTUS MBOGO PMHNP
NPI 1871443945
Nurse Practitioner - Psychiatric/Mental Health in University Place, WA

Active since January 29, 2026
4007 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466(972) 369-8869 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justus Mbogo Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTUS MBOGO PMHNP (NPI 1871443945) is an individual psychiatric/mental health provider in University Place, Washington, licensed in Washington (AP70065404) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1871443945
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTUS MBOGOCredential: PMHNP
Location Address4007 BRIDGEPORT WAY W STE BUniversity Place, WA 98466-4330
Mailing Address812 W Mcdermott Dr # 1004Allen, TX 75013-6500 · (972) 369-8869
Phone(972) 369-8869
Sole ProprietorYes
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1871443945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP70065404
4007 BRIDGEPORT WAY W STE B, University Place, WA 98466
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CURA MENTAL HEALTH, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
4007 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Pierce County (253) 295-2252
ACCESS HOLISTIC CARE PLLC
Nurse Practitioner (Psychiatric/Mental Health)
4007 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Pierce County (253) 234-4199
AYUB MWAURA NP
Nurse Practitioner (Psychiatric/Mental Health)
4007 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Pierce County (425) 640-7009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justus Mbogo's NPI number?

The NPI number for Justus Mbogo is 1871443945. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Justus Mbogo located?

Justus Mbogo practices at 4007 Bridgeport Way W Ste B, University Place, WA 98466. The listed phone number is (972) 369-8869.

What is Justus Mbogo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Justus Mbogo was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.