NPI Code Detail JSON Logo

1326749615 NPI number — MAYOWA OBASAJU PHD

NPI Number: 1326749615
Health Care Provider/Practitioner: MAYOWA OBASAJU PHD

Information about “1326749615” NPI (MAYOWA OBASAJU PHD) exists in 1326749615 in HTML format HTML  |  1326749615 in plain Text format TXT  |  1326749615 in PDF (Portable Document Format) PDF  |  1326749615 in an XML format XML  formats.

NPI Number : 1326749615 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326749615",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OBASAJU",
    "FirstName": "MAYOWA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OBASAJU",
    "OtherFirstName": "OLUWAMAYOWA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "501 W 156TH ST APT 44",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10032-7706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-654-7339",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "501 W 156TH ST APT 44",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10032-7706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-654-7339",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/14/2023",
    "LastUpdateDate": "03/14/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "019045",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TF0000X",
          "TaxonomyName": "Family Psychologist",
          "LicenseNumber": "019045",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TP2701X",
          "TaxonomyName": "Group Psychotherapy Psychologist",
          "LicenseNumber": "019045",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "019045",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.