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1306053186 NPI number — SIMONE LEVINSON PSYD

NPI Number: 1306053186
Health Care Provider/Practitioner: SIMONE LEVINSON PSYD

Information about “1306053186” NPI (SIMONE LEVINSON PSYD) exists in 1306053186 in HTML format HTML  |  1306053186 in plain Text format TXT  |  1306053186 in PDF (Portable Document Format) PDF  |  1306053186 in an XML format XML  formats.

NPI Number : 1306053186 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306053186",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEVINSON",
    "FirstName": "SIMONE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEVINE",
    "OtherFirstName": "SIMONE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "P.O. BOX 242",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TECUMSEH",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49286",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-467-9284",
    "MailingAddressFaxNumber": "844-553-6637",
    "FirstLinePracticeLocationAddress": "1470 MARIA LANA SUITE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WALNUT CREEK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94596",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-500-6463",
    "PracticeLocationAddressFaxNumber": "844-555-6337",
    "EnumerationDate": "05/17/2007",
    "LastUpdateDate": "09/05/2019",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "PSY26212",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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