Mawiyah Kambon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1752 Issued in NC

Practice address

2949 New Bern Ave
Raleigh, NC 27610-1248

Phone

(919) 231-2109

Fax

(919) 231-7221

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mawiyah Kambon Dba

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1851487607
  NPD (past) Authorized official
• Onipa Psychological and Consulting Services, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1194945287
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255427191",
    "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": "919-231-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-231-2109",
            "fax_number": "919-231-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBON",
        "first_name": "MAWIYAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000073",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Agwu Kalu
• Ndukwe Bassey Kalu
• Kalyani Senior Services Co.
• Wayneho Kam, M.D.
• Vanessa Kamashara, LCSWA, LCASA
• Mukesh Nautam Kamdar, M.D.
• Gary Scott Kamens, LCSW
• Alice Lorraine Kamil, MD
• Neelima Kamineni, MD
• Ami Jolene Kaminski, M.A., BCBA

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.