NPI Code Detail JSON Logo

1013214394 NPI number — COMPASS FAMILY CENTER

NPI Number: 1013214394
Health Care Provider/Practitioner: COMPASS FAMILY CENTER

Information about “1013214394” NPI (COMPASS FAMILY CENTER) exists in 1013214394 in HTML format HTML  |  1013214394 in plain Text format TXT  |  1013214394 in PDF (Portable Document Format) PDF  |  1013214394 in an XML format XML  formats.

NPI Number : 1013214394 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013214394",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPASS FAMILY CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "444 CAMINO DEL RIO S",
    "SecondLineMailingAddress": "SUITE # 106",
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92108-3510",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-446-6936",
    "MailingAddressFaxNumber": "619-446-6532",
    "FirstLinePracticeLocationAddress": "444 CAMINO DEL RIO S",
    "SecondLinePracticeLocationAddress": "SUITE # 106",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92108-3510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-446-6936",
    "PracticeLocationAddressFaxNumber": "619-446-6532",
    "EnumerationDate": "02/22/2011",
    "LastUpdateDate": "02/22/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAKER-ERICZEN",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "DIRECTOR, INTRICATE MIND INSTITUTE",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D.",
    "AuthorizedOfficialTelephoneNumber": "616-446-6936",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QC1500X",
          "TaxonomyName": "Community Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QD1600X",
          "TaxonomyName": "Developmental Disabilities Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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