{
"Npi": {
"NPI": "1326119447",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE WHOLE CHILD ASSOCIATES, LLC",
"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": "1S660 MIDWEST ROAD",
"SecondLineMailingAddress": "SUITE 160",
"MailingAddressCityName": "OAKBROOK TERRACE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60181-4459",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-975-6065",
"MailingAddressFaxNumber": "630-376-6630",
"FirstLinePracticeLocationAddress": "1S660 MIDWEST ROAD",
"SecondLinePracticeLocationAddress": "SUITE 160",
"PracticeLocationAddressCityName": "OAKBROOK TERRACE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60181-4459",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-975-6065",
"PracticeLocationAddressFaxNumber": "630-376-6630",
"EnumerationDate": "11/11/2006",
"LastUpdateDate": "06/03/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHULTZ-MROZ",
"AuthorizedOfficialFirstName": "JANET",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "708-975-6065",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "227000284",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225XP0200X",
"TaxonomyName": "Pediatric Occupational Therapist",
"LicenseNumber": "056001622",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"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."
},
{
"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."
}
]
}
}
}