{
"Npi": {
"NPI": "1245618537",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STUDENT-CENTERED PSYCHOLOGICAL SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "215 MCLAWS CIR STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLIAMSBURG",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23185-5799",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-345-6428",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "215 MCLAWS CIR STE 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILLIAMSBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23185-5799",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-345-6428",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/07/2015",
"LastUpdateDate": "05/07/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DINUZZO",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "LICENSED SCHOOL PSYCHOLOGIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.A.",
"AuthorizedOfficialTelephoneNumber": "703-915-9778",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "0803000251",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}