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1215693262 NPI number — MELISSA KERRY GUTTMAN MT-BC, LCAT

NPI Number: 1215693262
Health Care Provider/Practitioner: MELISSA KERRY GUTTMAN MT-BC, LCAT

Information about “1215693262” NPI (MELISSA KERRY GUTTMAN MT-BC, LCAT) exists in 1215693262 in HTML format HTML  |  1215693262 in plain Text format TXT  |  1215693262 in PDF (Portable Document Format) PDF  |  1215693262 in an XML format XML  formats.

NPI Number : 1215693262 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215693262",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTTMAN",
    "FirstName": "MELISSA",
    "MiddleName": "KERRY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MT-BC, LCAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "141 S 5TH ST OFC EAST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11211-5597",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-604-8815",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "141 S 5TH ST OFC EAST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11211-5597",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-713-9474",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/15/2021",
    "LastUpdateDate": "07/05/2022",
    "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": "225A00000X",
          "TaxonomyName": "Music Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225A00000X",
          "TaxonomyName": "Music Therapist",
          "LicenseNumber": "100512-02",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225A00000X",
          "TaxonomyName": "Music Therapist",
          "LicenseNumber": "002726",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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