NPI Code Detail JSON Logo

1023367570 NPI number — INTEGRAPY, INC.

NPI Number: 1023367570
Health Care Provider/Practitioner: INTEGRAPY, INC.

Information about “1023367570” NPI (INTEGRAPY, INC.) exists in 1023367570 in HTML format HTML  |  1023367570 in plain Text format TXT  |  1023367570 in PDF (Portable Document Format) PDF  |  1023367570 in an XML format XML  formats.

NPI Number : 1023367570 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023367570",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTEGRAPY, INC.",
    "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": "120 3RD AVE S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRANKLIN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37064-2511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-725-0070",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1119 KIRKWOOD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRANKLIN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37067-8662",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-502-7559",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2012",
    "LastUpdateDate": "11/16/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GILLIAM",
    "AuthorizedOfficialFirstName": "LAURYN",
    "AuthorizedOfficialMiddleName": "SALASSI",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "305-725-0070",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MT 2562",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": "LMT 1086",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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