Organization Active NPI

Ori Alaafi Coaching & Psychotherapy LLC

  • Clinical Psychologist
  • Wake Forest, NC
National Provider Identifier
1255873295
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003959 Issued in GA
Legal business name
ORI ALAAFI COACHING & PSYCHOTHERAPY LLC
Practice address
10520 Ligon Mill Rd Ste 100
Wake Forest, NC 27587-4575
Phone
(919) 274-0596
Fax
(919) 274-0596
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Eunice Wanjiru Ngumba-Gatabaki, PHD
Title
Member
Phone
(919) 274-0596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY003959 GA Primary

Addresses

Primary practice location

10520 Ligon Mill Rd Ste 100
Wake Forest, NC 27587-4575

Mailing address

3229 Greenville Loop Rd
Wake Forest, NC 27587-8882
Phone (919) 274-0596

Other practice location 1

1995 North Park Place
Suite 310F
Atlanta, GA 30339
Phone (919) 274-0596

National Provider Directory

National Provider Directory

Locations

1995 N Park Pl SE
Ste 310F
Atlanta, GA 30339
Phone (919) 274-0596

10520 Ligon Mill Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 274-0596

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1255873295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 GREENVILLE LOOP RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878882",
            "telephone_number": "919-274-0596",
            "fax_number": "919-928-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874575",
            "telephone_number": "919-274-0596",
            "fax_number": "919-274-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 North Park Place",
            "address_2": "Suite 310F",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30339",
            "country_code": "US",
            "telephone_number": "919-274-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORI ALAAFI COACHING & PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "NGUMBA-GATABAKI",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "WANJIRU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-274-0596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.