Megumi Omonishi, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21255 Issued in NY

Practice address

315 Madison Ave FL 17
New York, NY 10017-5419

Phone

(212) 365-5066

Fax

(212) 808-5510

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Accordia Counseling Solutions

  • Counseling Psychologist
  • Fayetteville, GA
  • NPI 1518290857
  NPD (past)

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1841580248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175419",
            "telephone_number": "212-365-5066",
            "fax_number": "212-808-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175419",
            "telephone_number": "212-365-5066",
            "fax_number": "212-808-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Bradenton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177567",
            "country_code": "US",
            "telephone_number": "614-766-5500",
            "fax_number": "614-766-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Westchester Ave, Ste 401",
            "address_purpose": "LOCATION",
            "city": "Purchase",
            "state": "NY",
            "postal_code": "10577",
            "country_code": "US",
            "telephone_number": "914-305-8630",
            "fax_number": "914-701-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMONISHI",
        "first_name": "MEGUMI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6987",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "21255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnj Division Three LLC
• Omnj Division Two LLC
• Omny Pain Management
• Omnyc Acupuncture P.C
• Omoshuwa Omo-Abu, NURSE PRACTITIONER
• Rachael Omonywa
• Reo Omori, MD
• Rebecca Omorodion
• Aisosa Omorogbe
• Ayaka Omoto, LMHC

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.