NPIMap

Organization Active NPI

Ibisanmi Relational Health Marriage and Family Therapy, PLLC

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1912414558
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001353-1 Issued in NY
Legal business name
IBISANMI RELATIONAL HEALTH MARRIAGE AND FAMILY THERAPY, PLLC
Practice address
311A West 50TH Street
New York, NY 10019
Phone
(315) 491-8722
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Christiana I. Awosan, PHD., LMFTNPI 1740794171
Title
Therapist and Owner
Phone
(315) 491-8722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 001353-1 NY Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 37FI00180900 NJ

Addresses

Primary practice location

311A West 50TH Street
New York, NY 10019

Mailing address

311A W 50TH Street
New York, NY 10019
Phone (917) 310-2662

Other practice location 1

2130 Millburn Ave Ste D2
Maplewood, NJ 07040-3749
Phone (315) 391-8722

Other names 1

  • Ibisanmi Relational Health Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1912414558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311A W 50TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "917-310-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311A WEST 50TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "315-491-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Millburn Ave Ste D2",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070403749",
            "country_code": "US",
            "telephone_number": "315-391-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IBISANMI RELATIONAL HEALTH MARRIAGE AND FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "AWOSAN",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "315-491-8722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001353-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00180900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ibisanmi Relational Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ibisanmi Relational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 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.