{
"Npi": {
"NPI": "1427125103",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PICKETT",
"FirstName": "PATT",
"MiddleName": "HOLLINGER",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PICKETT",
"OtherFirstName": "PATT",
"OtherMiddleName": "ANN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1000 LAKE ST LOUIS BLVD",
"SecondLineMailingAddress": "SUITE 206",
"MailingAddressCityName": "LAKE ST LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63367",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-561-8839",
"MailingAddressFaxNumber": "636-561-5042",
"FirstLinePracticeLocationAddress": "1000 LAKE ST LOUIS BLVD",
"SecondLinePracticeLocationAddress": "SUITE 206",
"PracticeLocationAddressCityName": "LAKE ST LOUIS",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63367",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-561-8839",
"PracticeLocationAddressFaxNumber": "636-561-5042",
"EnumerationDate": "11/29/2006",
"LastUpdateDate": "07/08/2007",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LMFT000030",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}