Active NPI
Peace of Mind Medical LLC
- Child & Adolescent Psychiatry Physician
- New York, NY
National Provider Identifier
1245052059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- PEACE OF MIND MEDICAL LLC
- Practice address
- 303 5TH Ave RM 907
New York, NY 10016-6682 - Phone
- (929) 888-5293
- NPI assigned
- Oct 31, 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
- Dr. Ihab I Ibrahim, MD
- Title
- Ceo
- Phone
- (929) 888-5293
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
303 5TH Ave RM 907
New York, NY 10016-6682
Mailing address
8 Oakwood CT
Holmdel, NJ 07733-1754
Phone (929) 888-5293
Other names 1
- na
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
303 5th Ave
Rm 907
New York, NY 10016
Phone (212) 254-7390
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- New York, NY
- NPI 1083876809
Single Specialty
-
- Psychologist
- New York, NY
- NPI 1144213463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1245052059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 OAKWOOD CT",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331754",
"telephone_number": "929-888-5293",
"fax_number": "929-695-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE RM 907",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166682",
"telephone_number": "929-888-5293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-31",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "IHAB",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "929-888-5293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "na",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- Elena M Dela Cruz Pe, N.P.
- Claire Peabody
- Elizabeth T Peabody, LMSW
- Peace Love Wellness Mental Health Counseling PLLC
- Peace Love Wellness Mental Health Counseling PLLC
- Peace of Mind Psychoanalysis and Creative Arts Therapy, PLLC
- Peace of Mind Therapy Nyc
- Peace Unlimited Therapy Services
- Peaceful Way Psychology PLLC
- Peach Tree Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.