{
"Npi": {
"NPI": "1003602418",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SIBELIUS 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": "1175 HIGHWAY A1A APT 508",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SATELLITE BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32937-2422",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-290-0727",
"MailingAddressFaxNumber": "321-779-4502",
"FirstLinePracticeLocationAddress": "5545 N WICKHAM RD STE 110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MELBOURNE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32940-7323",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-779-9838",
"PracticeLocationAddressFaxNumber": "321-779-4502",
"EnumerationDate": "04/15/2025",
"LastUpdateDate": "05/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCTAMMANY",
"AuthorizedOfficialFirstName": "ZAHRA",
"AuthorizedOfficialMiddleName": "YAGHOOTI",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "321-290-0727",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0855X",
"TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}