Organization Active NPI

Tonya Omar PLLC Dba the Aya Center

  • Psychologist
  • Durham, NC
National Provider Identifier
1245650977
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2523 Issued in NC
Legal business name
TONYA OMAR PLLC DBA THE AYA CENTER
Practice address
3500 Westgate Dr
Ste 201
Durham, NC 27707-2567
Phone
(919) 402-8738
Fax
(919) 869-2341
NPI assigned
Apr 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Mrs. Tonya C Omar, MA,LPA
Title
Owner
Phone
(919) 402-8738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2523 NC Primary

Addresses

Primary practice location

3500 Westgate Dr
Ste 201
Durham, NC 27707-2567

Mailing address

3500 Westgate Dr
Ste 201
Durham, NC 27707-2567
Phone (919) 402-8738

Other identifiers 3

IdentifierTypeStateIssuer
5915600MedicaidNC
8301525MedicaidNC
6006122MedicaidNC

Other names 1

  • The Aya Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tonya Omar PLLC Dba the Aya Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1245650977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-402-8738",
            "fax_number": "919-869-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-402-8738",
            "fax_number": "919-869-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYA OMAR PLLC DBA THE AYA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-402-8738",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915600",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301525",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Aya Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.