{
"Npi": {
"NPI": "1376011791",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LIOSSIS",
"FirstName": "ELENI",
"MiddleName": "S.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PSY.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LIOSSIS",
"OtherFirstName": "ELENI",
"OtherMiddleName": "S.",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PSY.D., ATR, LPC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "825 N CASS AVE STE 109",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTMONT",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60559-6401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-447-9737",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "825 N CASS AVE STE 109",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTMONT",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60559-6401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-447-9737",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/03/2018",
"LastUpdateDate": "12/12/2018",
"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": "071.008897",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}