NPI Code Detail JSON Logo

1366403214 NPI number — MELANIE GOTTLIEB PSY.D.

NPI Number: 1366403214
Health Care Provider/Practitioner: MELANIE GOTTLIEB PSY.D.

Information about “1366403214” NPI (MELANIE GOTTLIEB PSY.D.) exists in 1366403214 in HTML format HTML  |  1366403214 in plain Text format TXT  |  1366403214 in PDF (Portable Document Format) PDF  |  1366403214 in an XML format XML  formats.

NPI Number : 1366403214 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366403214",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOTTLIEB",
    "FirstName": "MELANIE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "95-298 UALALEHU ST APT 7",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILILANI",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96789-4119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-306-5370",
    "MailingAddressFaxNumber": "808-622-4503",
    "FirstLinePracticeLocationAddress": "95-298 UALALEHU ST APT 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILILANI",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96789-4119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-306-5370",
    "PracticeLocationAddressFaxNumber": "808-622-4503",
    "EnumerationDate": "03/30/2006",
    "LastUpdateDate": "09/11/2025",
    "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": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "547",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC2200X",
          "TaxonomyName": "Clinical Child & Adolescent Psychologist",
          "LicenseNumber": "547",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.