{
"Npi": {
"NPI": "1326780628",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INSIGHT ACTION PSYCHOTHERAPY",
"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": "4613 N UNIVERSITY DR # 124",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORAL SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33067-4602",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-478-6073",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10829 W CLAIRMONT CIR # 204",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TAMARAC",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33321-7889",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-478-6073",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/08/2022",
"LastUpdateDate": "04/08/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALBIN",
"AuthorizedOfficialFirstName": "RHONDA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "854-478-6073",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}