1215215975 NPI number — VLAD NOVET L.C.S.W.,C.A.S.A.C.

NPI Number: 1215215975
Health Care Provider/Practitioner: VLAD NOVET L.C.S.W.,C.A.S.A.C.

NPI Number : 1215215975 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215215975",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOVET",
    "FirstName": "VLAD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.C.S.W.,C.A.S.A.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7600 SHORE FRONT PKWY",
    "SecondLineMailingAddress": "APT.# 3M",
    "MailingAddressCityName": "ARVERNE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11692-1258",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-873-3769",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7600 SHORE FRONT PKWY",
    "SecondLinePracticeLocationAddress": "APT.# 3M",
    "PracticeLocationAddressCityName": "ARVERNE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11692-1258",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-873-3769",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/29/2011",
    "LastUpdateDate": "07/29/2011",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "078493",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "078493",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "078493",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "078493",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}