NPI Code Detail JSON Logo

1477900165 NPI number — AMANDA VALERIE CROFT EDD, NCSP

NPI Number: 1477900165
Health Care Provider/Practitioner: AMANDA VALERIE CROFT EDD, NCSP

Information about “1477900165” NPI (AMANDA VALERIE CROFT EDD, NCSP) exists in 1477900165 in HTML format HTML  |  1477900165 in plain Text format TXT  |  1477900165 in PDF (Portable Document Format) PDF  |  1477900165 in an XML format XML  formats.

NPI Number : 1477900165 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477900165",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CROFT",
    "FirstName": "AMANDA",
    "MiddleName": "VALERIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "EDD, NCSP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CROFT PETOSKEY",
    "OtherFirstName": "MANDI",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "365 N HALSTED ST APT 2502",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60661-1378",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-708-3004",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5250 OLD ORCHARD RD",
    "SecondLinePracticeLocationAddress": "ALEXANDER J. PARET AND ASSOCIATES",
    "PracticeLocationAddressCityName": "SKOKIE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60077-4460",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-708-3004",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/23/2016",
    "LastUpdateDate": "06/03/2016",
    "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": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": "2493229",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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