NPI Code Detail JSON Logo

1396546115 NPI number — ASPIRE PSYCHOLOGICAL ASSOCIATES LLC

NPI Number: 1396546115
Health Care Provider/Practitioner: ASPIRE PSYCHOLOGICAL ASSOCIATES LLC

Information about “1396546115” NPI (ASPIRE PSYCHOLOGICAL ASSOCIATES LLC) exists in 1396546115 in HTML format HTML  |  1396546115 in plain Text format TXT  |  1396546115 in PDF (Portable Document Format) PDF  |  1396546115 in an XML format XML  formats.

NPI Number : 1396546115 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396546115",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ASPIRE PSYCHOLOGICAL ASSOCIATES LLC",
    "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": "1999 CEDARBRIDGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08701-7048",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-837-0606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1515 MOCKINGBIRD LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28209-3236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-883-9087",
    "PracticeLocationAddressFaxNumber": "732-960-5071",
    "EnumerationDate": "03/19/2025",
    "LastUpdateDate": "03/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JEREMIAS",
    "AuthorizedOfficialFirstName": "JOE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "COO",
    "AuthorizedOfficialTelephoneNumber": "347-277-5090",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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."
      }
    }
  }
}
                
            

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