{
"Npi": {
"NPI": "1427192467",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CAMPAGNA",
"FirstName": "ALAN",
"MiddleName": "R",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PSY.D. MSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "93 NEW CREST ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LUDLOW",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01056-3138",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-313-3591",
"MailingAddressFaxNumber": "413-610-0060",
"FirstLinePracticeLocationAddress": "733 CHAPIN ST",
"SecondLinePracticeLocationAddress": "SUIT 200D",
"PracticeLocationAddressCityName": "LUDLOW",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01056-1900",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "413-313-3591",
"PracticeLocationAddressFaxNumber": "413-610-0060",
"EnumerationDate": "02/15/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "2029523",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}