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1508364910 NPI number — RICHARD MATTHEW MILLS E.DD., LCSW, CST, CH

NPI Number: 1508364910
Health Care Provider/Practitioner: RICHARD MATTHEW MILLS E.DD., LCSW, CST, CH

Information about “1508364910” NPI (RICHARD MATTHEW MILLS E.DD., LCSW, CST, CH) exists in 1508364910 in HTML format HTML  |  1508364910 in plain Text format TXT  |  1508364910 in PDF (Portable Document Format) PDF  |  1508364910 in an XML format XML  formats.

NPI Number : 1508364910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508364910",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLS",
    "FirstName": "RICHARD",
    "MiddleName": "MATTHEW",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "E.DD., LCSW, CST, CH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MILLS",
    "OtherFirstName": "RICHARD",
    "OtherMiddleName": "MATTHEW",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "E.DD., LCSW, CHT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "250 W 50TH ST APT 24K",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10019-6725",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "929-302-1400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "250 W 50TH ST APT 24K",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10019-6725",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "929-302-1400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/31/2018",
    "LastUpdateDate": "08/30/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "091039",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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