NPI Code Detail JSON Logo

1063652428 NPI number — JOSEPH BARRY

NPI Number: 1063652428
Health Care Provider/Practitioner: JOSEPH BARRY

Information about “1063652428” NPI (JOSEPH BARRY) exists in 1063652428 in HTML format HTML  |  1063652428 in plain Text format TXT  |  1063652428 in PDF (Portable Document Format) PDF  |  1063652428 in an XML format XML  formats.

NPI Number : 1063652428 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063652428",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARRY",
    "FirstName": "JOSEPH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BARRY",
    "OtherFirstName": "JOSEPH",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1400 AMBASSADOR ST APT 306",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90035-2859",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-203-9433",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1400 AMBASSADOR ST APT 306",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90035-2859",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-203-9433",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/25/2009",
    "LastUpdateDate": "02/25/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY5427",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.