{
"Npi": {
"NPI": "1518729573",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAMILY THERAPY FOR JOYFUL EATING INC",
"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": "4774 PARK GRANADA UNIT 8742",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CALABASAS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91372-7037",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-730-3673",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "22231 MULHOLLAND HWY STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CALABASAS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91302-5173",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-730-3673",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/25/2024",
"LastUpdateDate": "01/25/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUBIN",
"AuthorizedOfficialFirstName": "MOREEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT, PSYD",
"AuthorizedOfficialTelephoneNumber": "818-730-3673",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}