{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PACIFIC WEST COUNSELING CENTER INC",
"LastName": "Wood",
"FirstName": "Katrina",
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"NamePrefix": null,
"NameSuffix": null,
"Credential": "Ph.D",
"OtherOrgName": "WILSHIRE THERAPY CENTER",
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"OtherFirstName": null,
"OtherMiddleName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "13636 VENTURA BLVD",
"SecondLineMailingAddress": "SUITE 472",
"MailingAddressCityName": "SHERMAN OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91423-3700",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "8189060406",
"MailingAddressFaxNumber": "818-981-0649",
"FirstLinePracticeLocationAddress": "16250 Ventura Blvd ",
"SecondLinePracticeLocationAddress": "Suite 465",
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91436",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "8189060406",
"PracticeLocationAddressFaxNumber": "818-981-0649",
"EnumerationDate": "12/26/2013",
"LastUpdateDate": "12/26/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": "F",
"AuthorizedOfficialLastName": "WOOD",
"AuthorizedOfficialFirstName": "MICK",
"AuthorizedOfficialMiddleName": "ARTHUR",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "AA",
"AuthorizedOfficialTelephoneNumber": "818-623-4224",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "31664",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}