{
"Npi": {
"NPI": "1215150370",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TRAVIS",
"FirstName": "JANET",
"MiddleName": "LOUISE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "L.C.S.W.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SALEH",
"OtherFirstName": "JANET",
"OtherMiddleName": "L.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "L.C.S.W.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "407 OMNI DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HILLSBOROUGH",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08844-4527",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-281-8424",
"MailingAddressFaxNumber": "908-281-6289",
"FirstLinePracticeLocationAddress": "407 OMNI DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HILLSBOROUGH",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08844-4527",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "908-281-8424",
"PracticeLocationAddressFaxNumber": "908-281-6289",
"EnumerationDate": "04/10/2007",
"LastUpdateDate": "08/31/2010",
"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": "44SC04523300",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}