{
"Npi": {
"NPI": "1467649244",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TRIANA",
"FirstName": "JAMES",
"MiddleName": "HERNAN",
"NamePrefix": "DR.",
"NameSuffix": "JR.",
"Credential": "PH.D., L.C.S.W.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TRIANA",
"OtherFirstName": "SANTIAGO",
"OtherMiddleName": "HERNAN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": "JR.",
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "9000 JACARANDA LN",
"SecondLineMailingAddress": "SUITE 104",
"MailingAddressCityName": "PLANTATION",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33324-3600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-663-1837",
"MailingAddressFaxNumber": "954-473-9525",
"FirstLinePracticeLocationAddress": "7369 SHERIDAN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOLLYWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33024-2776",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-663-1837",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/26/2007",
"LastUpdateDate": "01/31/2024",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "SW00004279",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}