{
"Npi": {
"NPI": "1275303737",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ART OF CARE THERAPY, A MARRIAGE & FAMILY THERAPY CO.",
"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": "8605 SANTA MONICA BLVD # 297853",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST HOLLYWOOD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90069-4109",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-717-4564",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "103 VILLA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN PABLO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94806-3768",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-717-4564",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/05/2024",
"LastUpdateDate": "01/05/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRUM",
"AuthorizedOfficialFirstName": "JOSHUA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FOUNDER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "510-717-4564",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}