Individual provider Active NPI

Christiana I. Awosan, PHD., LMFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1740794171
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001353-1 Issued in NY
Practice address
113 University PL Ste 1017
New York, NY 10003-4527
Phone
(917) 310-2662
NPI assigned
Nov 21, 2017
Last updated
Sep 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001353-1 NY Primary
Marriage & Family Therapist 106H00000X 37FI00180900 NJ

Addresses

Primary practice location

113 University PL Ste 1017
New York, NY 10003-4527

Mailing address

629 W 170TH St Apt 2a
New York, NY 10032-3219
Phone (917) 310-2662

Other practice location 1

2130 Millburn Ave Ste D2
Maplewood, NJ 07040-3749
Phone (315) 491-8722

Other practice location 2

311A West 50th Street
New York, NY 10019
Phone (315) 491-8722

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

LicenseStateTypeSpecialty
37FI00180900NJMDMarriage & Family Therapist
001353-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ibisanmi Relational Health Marriage and Family Therapy, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

2130 Millburn Ave
Ste D2
Maplewood, NJ 07040
Phone (908) 265-9828

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1740794171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W 170TH ST APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323219",
            "telephone_number": "917-310-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL STE 1017",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "917-310-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Millburn Ave Ste D2",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070403749",
            "country_code": "US",
            "telephone_number": "315-491-8722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311A West 50th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10019",
            "country_code": "US",
            "telephone_number": "315-491-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOSAN",
        "first_name": "CHRISTIANA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "PHD., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001353-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00180900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 21, 2024; 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.