{
"Npi": {
"NPI": "1053590950",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SK JARON",
"FirstName": "CAROL",
"MiddleName": "P",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JARON",
"OtherFirstName": "CAROL",
"OtherMiddleName": "P",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MFT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "205 EAST THIRD AVE",
"SecondLineMailingAddress": "SUITE 205",
"MailingAddressCityName": "SAN MATEO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-464-4387",
"MailingAddressFaxNumber": "650-240-0382",
"FirstLinePracticeLocationAddress": "2645 OCEAN AVE",
"SecondLinePracticeLocationAddress": "SUITE 206",
"PracticeLocationAddressCityName": "SAN FRANCISCO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94132",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-541-5004",
"PracticeLocationAddressFaxNumber": "650-340-0382",
"EnumerationDate": "10/26/2007",
"LastUpdateDate": "10/26/2007",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFT35465",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}