{
"Npi": {
"NPI": "1003271446",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RISE ABOVE SPEECH THERAPY PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "280 PARK AVE S",
"SecondLineMailingAddress": "APT. 19F",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10010-6121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-626-2997",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "280 PARK AVE S",
"SecondLinePracticeLocationAddress": "APT. 19F",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10010-6121",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-626-2997",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/30/2015",
"LastUpdateDate": "12/30/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOUSSIE",
"AuthorizedOfficialFirstName": "CANDICE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SPEECH-LANGUAGE PATHOLOGIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.S. CCC-SLP",
"AuthorizedOfficialTelephoneNumber": "917-626-2997",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "016662",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}