Igbinosa Noel Amadasun

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5417 Madison Ave
Sacramento, CA 95841-3164

Phone

(916) 583-2248

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1265576813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231305",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958230405",
            "telephone_number": "916-549-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 MADISON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413164",
            "telephone_number": "916-583-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADASUN",
        "first_name": "IGBINOSA",
        "middle_name": "NOEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115403",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "76536",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ama Interprize
• Irene Joy Amaba
• Amadeus Medical Inc
• Chris Amadi
• Fredrick Nwokedi Amadi
• Grace PO-an Huang Amadi, MD
• Lestell Jeannesa Amador Kelly

• Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.