{
"Npi": {
"NPI": "1447402920",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ANDRES",
"FirstName": "ALLISON",
"MiddleName": "L.V.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PSY.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 4588",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EL DORADO HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95762",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-497-5439",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4001 HIGHWAY 104 MENTAL HEALTH DEPARTMENT",
"SecondLinePracticeLocationAddress": "MULE CREEK STATE PRISON (CSP-MCSP)",
"PracticeLocationAddressCityName": "IONE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95640",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-497-5439",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/16/2008",
"LastUpdateDate": "04/18/2012",
"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": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "PSY22540",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "PSY1123",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}