NPI Code Detail JSON Logo

1467702407 NPI number — MYA PATRICE NDIAYE

NPI Number: 1467702407
Health Care Provider/Practitioner: MYA PATRICE NDIAYE

Information about “1467702407” NPI (MYA PATRICE NDIAYE) exists in 1467702407 in HTML format HTML  |  1467702407 in plain Text format TXT  |  1467702407 in PDF (Portable Document Format) PDF  |  1467702407 in an XML format XML  formats.

NPI Number : 1467702407 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467702407",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NDIAYE",
    "FirstName": "MYA",
    "MiddleName": "PATRICE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16320 E 9 MILE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EASTPOINTE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48021-2440",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-414-1945",
    "MailingAddressFaxNumber": "586-944-2731",
    "FirstLinePracticeLocationAddress": "16320 E 9 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EASTPOINTE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48021-2440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-414-1945",
    "PracticeLocationAddressFaxNumber": "586-944-2731",
    "EnumerationDate": "09/18/2012",
    "LastUpdateDate": "04/04/2017",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "6301015244",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": "6301015244",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-17-25043",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.