NPI Code Detail JSON Logo

1194462242 NPI number — LAURA-ASHLEY RECIO PSY

NPI Number: 1194462242
Health Care Provider/Practitioner: LAURA-ASHLEY RECIO PSY

Information about “1194462242” NPI (LAURA-ASHLEY RECIO PSY) exists in 1194462242 in HTML format HTML  |  1194462242 in plain Text format TXT  |  1194462242 in PDF (Portable Document Format) PDF  |  1194462242 in an XML format XML  formats.

NPI Number : 1194462242 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194462242",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RECIO",
    "FirstName": "LAURA-ASHLEY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PSY",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WHITTAKER",
    "OtherFirstName": "LAURA-ASHLEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2400 MOORPARK AVE STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JOSE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95128-2680",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-975-2730",
    "MailingAddressFaxNumber": "408-975-2764",
    "FirstLinePracticeLocationAddress": "2400 MOORPARK AVE STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JOSE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95128-2680",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-975-2730",
    "PracticeLocationAddressFaxNumber": "408-975-2764",
    "EnumerationDate": "05/18/2022",
    "LastUpdateDate": "07/16/2025",
    "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": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.