NPI Code Detail JSON Logo

1487769980 NPI number — DIANE MARIE BENEVENTI PH.D

NPI Number: 1487769980
Health Care Provider/Practitioner: DIANE MARIE BENEVENTI PH.D

Information about “1487769980” NPI (DIANE MARIE BENEVENTI PH.D) exists in 1487769980 in HTML format HTML  |  1487769980 in plain Text format TXT  |  1487769980 in PDF (Portable Document Format) PDF  |  1487769980 in an XML format XML  formats.

NPI Number : 1487769980 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487769980",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BENEVENTI",
    "FirstName": "DIANE",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUSH",
    "OtherFirstName": "DIANE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6414 LIVE OAKS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARLSBAD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92009-3082",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-438-2804",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6414 LIVE OAKS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARLSBAD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92009-3082",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-438-2804",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY16466",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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