Active NPI
Christiana I. Awosan, PHD., LMFT
- Marriage & Family Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001353-1
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37FI00180900 | NJ | MD | Marriage & Family Therapist |
| 001353-1 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Ibisanmi Relational Health
- Marriage & Family Therapist
- New York, NY
- NPI 1912414558
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.