Afiya Mangum Mbilishaka, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1000845 Issued in DC

Practice address

1115 Massachusetts Ave NW
Washington, DC 20005-4604

Phone

(516) 238-7333

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Afiya Miriam Mangum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1457730772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E WEST HWY",
            "address_2": "APT 355",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822176",
            "telephone_number": "516-238-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054604",
            "telephone_number": "516-238-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBILISHAKA",
        "first_name": "AFIYA",
        "middle_name": "MANGUM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AFIYA",
            "last_name": "MANGUM",
            "middle_name": "MIRIAM",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frederick Chumfong Mbiatat
• James Mbide
• Nzekah Mbide
• Andrews Nsanyui Mbigefe
• Agnes Ngue Ngo Mbila
• Alan Mbipeh, HHA
• Mildrette Mbipeh
• Wambui Mboche
• Marcel Thierry Mbock
• Jeanne Elise Carine Mboe-Foe

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.