NPI Code Detail JSON Logo

1366132136 NPI number — DEBORAH ROBERTS MOUW IMH

NPI Number: 1366132136
Health Care Provider/Practitioner: DEBORAH ROBERTS MOUW IMH

Information about “1366132136” NPI (DEBORAH ROBERTS MOUW IMH) exists in 1366132136 in HTML format HTML  |  1366132136 in plain Text format TXT  |  1366132136 in PDF (Portable Document Format) PDF  |  1366132136 in an XML format XML  formats.

NPI Number : 1366132136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366132136",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOUW",
    "FirstName": "DEBORAH",
    "MiddleName": "ROBERTS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "IMH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3207 PERIMETER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENACRES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33467-2032",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-578-1465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8198 S JOG RD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOYNTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33472-6903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-810-6631",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/15/2023",
    "LastUpdateDate": "05/15/2023",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "IMH22744",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.