{
"Npi": {
"NPI": "1477793693",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NATCHAUG HOSPITAL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "20 MAPLE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNCASVILLE",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06382-2345",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-848-3098",
"MailingAddressFaxNumber": "860-848-1152",
"FirstLinePracticeLocationAddress": "20 MAPLE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UNCASVILLE",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06382-2345",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-848-3098",
"PracticeLocationAddressFaxNumber": "860-848-1152",
"EnumerationDate": "02/27/2009",
"LastUpdateDate": "02/27/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LARCEN",
"AuthorizedOfficialFirstName": "STEPHEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHD",
"AuthorizedOfficialTelephoneNumber": "860-456-1311",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283Q00000X",
"TaxonomyName": "Psychiatric Hospital",
"LicenseNumber": "E48610",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}