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1184160715 NPI number — BRETT HARTMAN PSYD

NPI Number: 1184160715
Health Care Provider/Practitioner: BRETT HARTMAN PSYD

Information about “1184160715” NPI (BRETT HARTMAN PSYD) exists in 1184160715 in HTML format HTML  |  1184160715 in plain Text format TXT  |  1184160715 in PDF (Portable Document Format) PDF  |  1184160715 in an XML format XML  formats.

NPI Number : 1184160715 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184160715",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARTMAN",
    "FirstName": "BRETT",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "196 EUCLID AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12208-1402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-482-6089",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1762 CENTRAL AVE STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12205-4777",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-389-1300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/06/2017",
    "LastUpdateDate": "01/06/2017",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "012881",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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