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1114706470 NPI number — MELISSA TATAR-PICKERSGILL M.S., LPC, NCC, BSP

NPI Number: 1114706470
Health Care Provider/Practitioner: MELISSA TATAR-PICKERSGILL M.S., LPC, NCC, BSP

Information about “1114706470” NPI (MELISSA TATAR-PICKERSGILL M.S., LPC, NCC, BSP) exists in 1114706470 in HTML format HTML  |  1114706470 in plain Text format TXT  |  1114706470 in PDF (Portable Document Format) PDF  |  1114706470 in an XML format XML  formats.

NPI Number : 1114706470 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114706470",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TATAR-PICKERSGILL",
    "FirstName": "MELISSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., LPC, NCC, BSP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TATAR-PICKERSGILL",
    "OtherFirstName": "MSMISSYMS",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "115 LIBERTY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18940-2024",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-577-1155",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "25 E BRIDGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORRISVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19067-7129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "267-797-5029",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2023",
    "LastUpdateDate": "02/19/2024",
    "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": "405300000X",
          "TaxonomyName": "Prevention Professional",
          "LicenseNumber": "PC015535",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "PC015535",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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