{
"Npi": {
"NPI": "1174898092",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CORBETT YOUNG",
"FirstName": "THARIA",
"MiddleName": "B",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "M.A.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "410 S MELROSE DR",
"SecondLineMailingAddress": "SUITE 202",
"MailingAddressCityName": "VISTA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92081-6642",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-975-5308",
"MailingAddressFaxNumber": "760-806-4340",
"FirstLinePracticeLocationAddress": "410 S MELROSE DR",
"SecondLinePracticeLocationAddress": "SUITE 202",
"PracticeLocationAddressCityName": "VISTA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92081-6642",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-975-5308",
"PracticeLocationAddressFaxNumber": "760-806-4340",
"EnumerationDate": "03/09/2012",
"LastUpdateDate": "03/09/2012",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC50924",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}