NPI Code Detail JSON Logo

1467974741 NPI number — THE OLIVE TREE CENTER FOR CHILD AND FAMILY PSYCHOLOGY, LLC

NPI Number: 1467974741
Health Care Provider/Practitioner: THE OLIVE TREE CENTER FOR CHILD AND FAMILY PSYCHOLOGY, LLC

Information about “1467974741” NPI (THE OLIVE TREE CENTER FOR CHILD AND FAMILY PSYCHOLOGY, LLC) exists in 1467974741 in HTML format HTML  |  1467974741 in plain Text format TXT  |  1467974741 in PDF (Portable Document Format) PDF  |  1467974741 in an XML format XML  formats.

NPI Number : 1467974741 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467974741",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE OLIVE TREE CENTER FOR CHILD AND FAMILY PSYCHOLOGY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "8129 ABBOTT AVE APT 12",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33141-1658",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-792-8168",
    "MailingAddressFaxNumber": "305-675-0689",
    "FirstLinePracticeLocationAddress": "975 ARTHUR GODFREY RD STE 303",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33140-3342",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-792-8168",
    "PracticeLocationAddressFaxNumber": "305-675-0689",
    "EnumerationDate": "07/09/2017",
    "LastUpdateDate": "03/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLIVOS",
    "AuthorizedOfficialFirstName": "LAURA",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D",
    "AuthorizedOfficialTelephoneNumber": "305-792-8168",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PY9816",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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