{
"Npi": {
"NPI": "1215025507",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SOKOLSKI",
"FirstName": "DAWN",
"MiddleName": "MARIE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CHISHOLM",
"OtherFirstName": "DAWN",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "18MDG UNIT 5268",
"SecondLineMailingAddress": "OPC 80 BOX 5217",
"MailingAddressCityName": "APO",
"MailingAddressStateName": "AP",
"MailingAddressPostalCode": "96367-5217",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-634-3272",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "18 MDG UNIT 5142",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "APO",
"PracticeLocationAddressStateName": "AP",
"PracticeLocationAddressPostalCode": "96368",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "315-634-7827",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/11/2006",
"LastUpdateDate": "08/27/2025",
"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": "PSY2466",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}