NPI Code Detail JSON Logo

1245439645 NPI number — ELENI ECONOMIDES LMFT

NPI Number: 1245439645
Health Care Provider/Practitioner: ELENI ECONOMIDES LMFT

Information about “1245439645” NPI (ELENI ECONOMIDES LMFT) exists in 1245439645 in HTML format HTML  |  1245439645 in plain Text format TXT  |  1245439645 in PDF (Portable Document Format) PDF  |  1245439645 in an XML format XML  formats.

NPI Number : 1245439645 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245439645",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ECONOMIDES",
    "FirstName": "ELENI",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TSOMPANIDOU",
    "OtherFirstName": "ELENI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "625 PANORAMA TRAIL",
    "SecondLineMailingAddress": "BLDG 1 STE 107",
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14625",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-469-7072",
    "MailingAddressFaxNumber": "585-344-3047",
    "FirstLinePracticeLocationAddress": "625 PANORAMA TRAIL",
    "SecondLinePracticeLocationAddress": "BLDG 1 STE 107",
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14625",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-469-7072",
    "PracticeLocationAddressFaxNumber": "585-344-3047",
    "EnumerationDate": "07/16/2007",
    "LastUpdateDate": "10/10/2018",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "000792",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.