1013242122 NPI number — DOROTHY ANN SKAGGS L.P.C.C.-S.

NPI Number: 1013242122
Health Care Provider/Practitioner: DOROTHY ANN SKAGGS L.P.C.C.-S.

NPI Number : 1013242122 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013242122",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SKAGGS",
    "FirstName": "DOROTHY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.P.C.C.-S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "615 CHURCHILL HUBBARD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YOUNGSTOWN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44505-1332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-545-7918",
    "MailingAddressFaxNumber": "330-759-8683",
    "FirstLinePracticeLocationAddress": "615 CHURCHILL HUBBARD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YOUNGSTOWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44505-1332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-545-7918",
    "PracticeLocationAddressFaxNumber": "330-759-8683",
    "EnumerationDate": "10/07/2009",
    "LastUpdateDate": "10/14/2009",
    "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": "283Q00000X",
        "TaxonomyName": "Psychiatric Hospital",
        "LicenseNumber": "E0700065",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}