Onipa Psychological and Consulting Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1752 Issued in NC

Legal business name

ONIPA PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC

Practice address

2949 New Bern Ave
Suite 112B
Raleigh, NC 27610-1248

Phone

(919) 231-2109

Fax

(919) 231-2152

NPI assigned

Apr 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mawiyah Kambon, PH.D.NPI 1255427191

Title

Executive Director

Phone

(919) 231-2109

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mawiyah Kambon, PH.D.

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1255427191
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1194945287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46768",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276206768",
            "telephone_number": "919-231-2109",
            "fax_number": "919-231-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "SUITE 112B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-231-2109",
            "fax_number": "919-231-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONIPA PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "KAMBON",
        "authorized_official_first_name": "MAWIYAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-231-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.