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1265014518 NPI number — EARTHA M HACKETT PHD

NPI Number: 1265014518
Health Care Provider/Practitioner: EARTHA M HACKETT PHD

Information about “1265014518” NPI (EARTHA M HACKETT PHD) exists in 1265014518 in HTML format HTML  |  1265014518 in plain Text format TXT  |  1265014518 in PDF (Portable Document Format) PDF  |  1265014518 in an XML format XML  formats.

NPI Number : 1265014518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265014518",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HACKETT",
    "FirstName": "EARTHA",
    "MiddleName": "M",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SIMPSON-HACKETT",
    "OtherFirstName": "EARTHA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DR.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "13037 235TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROSEDALE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11422-1215",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-209-3753",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13037 235TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSEDALE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11422-1215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-209-3753",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/26/2021",
    "LastUpdateDate": "04/26/2021",
    "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": "103TC1900X",
        "TaxonomyName": "Counseling Psychologist",
        "LicenseNumber": "024082-01",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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