NPI Code Detail JSON Logo

1497029961 NPI number — SYSTEMIC COUNSELING SERVICES, LLC

NPI Number: 1497029961
Health Care Provider/Practitioner: SYSTEMIC COUNSELING SERVICES, LLC

Information about “1497029961” NPI (SYSTEMIC COUNSELING SERVICES, LLC) exists in 1497029961 in HTML format HTML  |  1497029961 in plain Text format TXT  |  1497029961 in PDF (Portable Document Format) PDF  |  1497029961 in an XML format XML  formats.

NPI Number : 1497029961 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497029961",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SYSTEMIC COUNSELING SERVICES, 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": "357 WHITNEY AVE",
    "SecondLineMailingAddress": "C/O LOVINS GROUP",
    "MailingAddressCityName": "NEW HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06511-2364",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-233-9179",
    "MailingAddressFaxNumber": "203-624-7599",
    "FirstLinePracticeLocationAddress": "357 WHITNEY AVE",
    "SecondLinePracticeLocationAddress": "C/O LOVINS GROUP",
    "PracticeLocationAddressCityName": "NEW HAVEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06511-2364",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-233-9179",
    "PracticeLocationAddressFaxNumber": "203-624-7599",
    "EnumerationDate": "03/01/2012",
    "LastUpdateDate": "03/01/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OPATRNY",
    "AuthorizedOfficialFirstName": "DONALD",
    "AuthorizedOfficialMiddleName": "PATRICK",
    "AuthorizedOfficialTitle": "OWNER/MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "203-233-9179",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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