Active NPI
Ihsan Nurah Counseling & Mental Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1033934054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- IHSAN NURAH COUNSELING & MENTAL HEALTH SERVICES LLC
- Practice address
- 100 Church St RM 800
New York, NY 10007-2621 - Phone
- (347) 968-7277
- NPI assigned
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samira Hafiz, PMHNP-BC
- Title
- Owner
- Phone
- (347) 968-7277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
100 Church St RM 800
New York, NY 10007-2621
Mailing address
4309 Bristol Station CT
Carteret, NJ 07008-3163
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1346077195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1033934054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 BRISTOL STATION CT",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070083163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCH ST RM 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072621",
"telephone_number": "347-968-7277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHSAN NURAH COUNSELING & MENTAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "HAFIZ",
"authorized_official_first_name": "SAMIRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-968-7277",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.