NPI Code Detail JSON Logo

1376055400 NPI number — MARY WELSH FOUNDATION, INC.

NPI Number: 1376055400
Health Care Provider/Practitioner: MARY WELSH FOUNDATION, INC.

Information about “1376055400” NPI (MARY WELSH FOUNDATION, INC.) exists in 1376055400 in HTML format HTML  |  1376055400 in plain Text format TXT  |  1376055400 in PDF (Portable Document Format) PDF  |  1376055400 in an XML format XML  formats.

NPI Number : 1376055400 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376055400",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARY WELSH FOUNDATION, INC.",
    "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": "4826 CHEVAL BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUTZ",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33558-5337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-215-0066",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3820 GUNN HWY STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33618-8720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-333-3878",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/30/2017",
    "LastUpdateDate": "06/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FOSTER",
    "AuthorizedOfficialFirstName": "ROBIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHAIRMAN OF THE BOARD",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "813-215-0066",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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