Active NPI
Mayowa Obasaju, PHD
- Psychologist
- New York, NY
National Provider Identifier
1326749615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019045
- Practice address
- 501 W 156TH St Apt 44
New York, NY 10032-7706 - Phone
- (516) 654-7339
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 019045 | NY | |
| Family Psychologist | 103TF0000X | 019045 | NY | |
| Group Psychotherapy Psychologist | 103TP2701X | 019045 | NY | |
| Psychologist | 103T00000X | 019045 | NY | Primary |
Addresses
Primary practice location
501 W 156TH St Apt 44
New York, NY 10032-7706
Mailing address
501 W 156TH St Apt 44
New York, NY 10032-7706
Phone (516) 654-7339
Other names 1
- Dr. Oluwamayowa Obasaju
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019045 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1326749615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W 156TH ST APT 44",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100327706",
"telephone_number": "516-654-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 156TH ST APT 44",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100327706",
"telephone_number": "516-654-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBASAJU",
"first_name": "MAYOWA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019045",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "019045",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NY",
"license": "019045",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLUWAMAYOWA",
"last_name": "OBASAJU",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.