{
"Npi": {
"NPI": "1134548332",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BUFFY CRAMER-HAMMANN PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "333 N RANDALL RD",
"SecondLineMailingAddress": "SUITE 11",
"MailingAddressCityName": "ST CHARLES",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60174-1573",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-464-5824",
"MailingAddressFaxNumber": "847-628-9567",
"FirstLinePracticeLocationAddress": "333 N RANDALL RD",
"SecondLinePracticeLocationAddress": "SUITE 11",
"PracticeLocationAddressCityName": "ST CHARLES",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60174-1573",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-464-5824",
"PracticeLocationAddressFaxNumber": "847-628-9567",
"EnumerationDate": "04/15/2014",
"LastUpdateDate": "04/15/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAMER-HAMMANN",
"AuthorizedOfficialFirstName": "BUFFY",
"AuthorizedOfficialMiddleName": "JEAN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PSY.D.",
"AuthorizedOfficialTelephoneNumber": "630-841-7658",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "071006448",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}