Eunice Wanjiru Ngumba-Gatabaki, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2386 Issued in NC

Practice address

839 Durham Rd Ste C
Wake Forest, NC 27587-8793

Phone

(919) 274-0596

Fax

(919) 928-5160

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Amani Psychological Services, PLLC.

  • Clinical Psychologist
  • Wake Forest, NC
  • NPI 1417192329
  NPD Authorized official
• Ori Alaafia Couching & Psychotherapy LLC

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1295194108
  NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1306899976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 GREENVILLE LOOP ROAD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-274-0596",
            "fax_number": "919-373-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 DURHAM RD STE C",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-274-0596",
            "fax_number": "919-928-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Westgate Dr Ste 604",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072534",
            "country_code": "US",
            "telephone_number": "919-493-5013",
            "fax_number": "919-493-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUMBA-GATABAKI",
        "first_name": "EUNICE",
        "middle_name": "WANJIRU",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2386",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000770",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Path Consultations, LLC
• Christina Theresa Newman, AGPCNP - BC
• Justice Divine Newsome, COTA/L
• Launiece D Newton, AGPCNP-C, PMHNP-BC
• Timothy Mark Newton, MA LPA
• Nguyen & Nguyen Dentistry Partnership
• Nguyen and Mulnick PLLC
• CHI Minh Nguyen, PA
• Tran Minhthi Nguyen, D.D.S.
• Raluca Madalina Nicodim

• Clinical Psychologist in Wake Forest, NC
• Providers in Wake Forest, 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 Dec 9, 2020; 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.