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1487143152 NPI number — DESERT RAIN HEALTH AND WELLBEING

NPI Number: 1487143152
Health Care Provider/Practitioner: DESERT RAIN HEALTH AND WELLBEING

Information about “1487143152” NPI (DESERT RAIN HEALTH AND WELLBEING) exists in 1487143152 in HTML format HTML  |  1487143152 in plain Text format TXT  |  1487143152 in PDF (Portable Document Format) PDF  |  1487143152 in an XML format XML  formats.

NPI Number : 1487143152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487143152",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DESERT RAIN HEALTH AND WELLBEING",
    "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": "18809 W ELM ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITCHFIELD PARK",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85340-9560",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-687-7460",
    "MailingAddressFaxNumber": "480-247-4038",
    "FirstLinePracticeLocationAddress": "12725 W INDIAN SCHOOL RD",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "AVONDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85392",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-399-0397",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2018",
    "LastUpdateDate": "10/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STAFFORD",
    "AuthorizedOfficialFirstName": "NEIL",
    "AuthorizedOfficialMiddleName": "SEABERN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D.",
    "AuthorizedOfficialTelephoneNumber": "623-687-7460",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "3691",
        "LicenseNumberStateCode": "AZ",
        "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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