{
"Npi": {
"NPI": "1013156322",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MAHERAS",
"FirstName": "LISA",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.A.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MAHERAS",
"OtherFirstName": "LISA",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "B.A.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "177 BOVET RD.",
"SecondLineMailingAddress": "SUITE 540",
"MailingAddressCityName": "SAN MATEO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-573-5133",
"MailingAddressFaxNumber": "650-394-4167",
"FirstLinePracticeLocationAddress": "177 BOVET RD.",
"SecondLinePracticeLocationAddress": "SUITE 540",
"PracticeLocationAddressCityName": "SAN MATEO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94402",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-573-5133",
"PracticeLocationAddressFaxNumber": "650-394-4167",
"EnumerationDate": "02/10/2009",
"LastUpdateDate": "02/10/2009",
"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": "103TS0200X",
"TaxonomyName": "School Psychologist",
"LicenseNumber": "#2272",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}