NPI Code Detail JSON Logo

1164192829 NPI number — NICHOLAS ARNOLDY

NPI Number: 1164192829
Health Care Provider/Practitioner: NICHOLAS ARNOLDY

Information about “1164192829” NPI (NICHOLAS ARNOLDY) exists in 1164192829 in HTML format HTML  |  1164192829 in plain Text format TXT  |  1164192829 in PDF (Portable Document Format) PDF  |  1164192829 in an XML format XML  formats.

NPI Number : 1164192829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164192829",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARNOLDY",
    "FirstName": "NICHOLAS",
    "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": "1500 S DOUGLAS RD STE 230",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORAL GABLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33134-4108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "844-854-1116",
    "MailingAddressFaxNumber": "305-846-9711",
    "FirstLinePracticeLocationAddress": "2549 JOLLY RD STE 380",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKEMOS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48864-3680",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-668-4909",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/15/2021",
    "LastUpdateDate": "09/15/2021",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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