NPI Code Detail JSON Logo

1396222550 NPI number — JUDITH SHARON HALLE PHD

NPI Number: 1396222550
Health Care Provider/Practitioner: JUDITH SHARON HALLE PHD

Information about “1396222550” NPI (JUDITH SHARON HALLE PHD) exists in 1396222550 in HTML format HTML  |  1396222550 in plain Text format TXT  |  1396222550 in PDF (Portable Document Format) PDF  |  1396222550 in an XML format XML  formats.

NPI Number : 1396222550 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396222550",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HALLE",
    "FirstName": "JUDITH",
    "MiddleName": "SHARON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEVY",
    "OtherFirstName": "JUDITH",
    "OtherMiddleName": "SHARON",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "442 UPPER BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIDGEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07450-1504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-739-4601",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "71 FRANKLIN TPKE STE 1-2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WALDWICK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07463-1800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-739-4601",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2018",
    "LastUpdateDate": "07/20/2018",
    "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": "011575",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "35S100500800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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