{
"Npi": {
"NPI": "1063476687",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KNAPP",
"FirstName": "JANE",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PSY.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DIETRICH",
"OtherFirstName": "JANE",
"OtherMiddleName": "HEESEN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2680 BAYSHORE PARKWAY",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "MOUNTAIN VIEW",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94043-4425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-288-6069",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2680 BAYSHORE PKWY",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "MOUNTAIN VIEW",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94043-1018",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-288-6069",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/12/2006",
"LastUpdateDate": "01/10/2017",
"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": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "PS007834L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "PSY28448",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}