NPI Code Detail JSON Logo

1417007816 NPI number — MARILYN S. CABAY PH.D.

NPI Number: 1417007816
Health Care Provider/Practitioner: MARILYN S. CABAY PH.D.

Information about “1417007816” NPI (MARILYN S. CABAY PH.D.) exists in 1417007816 in HTML format HTML  |  1417007816 in plain Text format TXT  |  1417007816 in PDF (Portable Document Format) PDF  |  1417007816 in an XML format XML  formats.

NPI Number : 1417007816 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417007816",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CABAY",
    "FirstName": "MARILYN",
    "MiddleName": "S.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5935 E CAMBRIDGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCOTTSDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85257-1019",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-717-2589",
    "MailingAddressFaxNumber": "480-675-0242",
    "FirstLinePracticeLocationAddress": "4300 N MILLER RD",
    "SecondLinePracticeLocationAddress": "SUITE 110-5",
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85251-3619",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-717-2589",
    "PracticeLocationAddressFaxNumber": "480-675-0242",
    "EnumerationDate": "01/11/2007",
    "LastUpdateDate": "07/24/2016",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "3903",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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