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1164937801 NPI number — DR. STACEY FIELD

NPI Number: 1164937801
Health Care Provider/Practitioner: DR. STACEY FIELD

Information about “1164937801” NPI (DR. STACEY FIELD) exists in 1164937801 in HTML format HTML  |  1164937801 in plain Text format TXT  |  1164937801 in PDF (Portable Document Format) PDF  |  1164937801 in an XML format XML  formats.

NPI Number : 1164937801 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164937801",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FIELD",
    "FirstName": "STACEY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FIELD",
    "OtherFirstName": "STACEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "828 FEDERAL RD FL 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKFIELD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06804-1830",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-885-0500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "828 FEDERAL RD FL 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKFIELD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06804-1830",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-885-0500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/04/2017",
    "LastUpdateDate": "12/04/2017",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "3712",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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