{
"Npi": {
"NPI": "1194825802",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HYMAN",
"FirstName": "SHERI",
"MiddleName": "BETH",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MSW, LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STARIN",
"OtherFirstName": "SHERI",
"OtherMiddleName": "BETH",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MSW, LCSW",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "94 SOUTH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW CANAAN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06840-5721",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-429-1973",
"MailingAddressFaxNumber": "516-877-2038",
"FirstLinePracticeLocationAddress": "520 FRANKLIN AVE STE 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GARDEN CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11530-5815",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-429-1973",
"PracticeLocationAddressFaxNumber": "516-877-2038",
"EnumerationDate": "09/23/2006",
"LastUpdateDate": "11/26/2024",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "R0459191",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}