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1528505013 NPI number — PACIFIC BEHAVIORAL HEALTH LTD

NPI Number: 1528505013
Health Care Provider/Practitioner: PACIFIC BEHAVIORAL HEALTH LTD

Information about “1528505013” NPI (PACIFIC BEHAVIORAL HEALTH LTD) exists in 1528505013 in HTML format HTML  |  1528505013 in plain Text format TXT  |  1528505013 in PDF (Portable Document Format) PDF  |  1528505013 in an XML format XML  formats.

NPI Number : 1528505013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528505013",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PACIFIC BEHAVIORAL HEALTH LTD",
    "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": "PO BOX 247",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KAILUA",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96734-0247",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-225-2193",
    "MailingAddressFaxNumber": "888-604-2131",
    "FirstLinePracticeLocationAddress": "970 N KALAHEO AVE STE A314",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KAILUA",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96734-1870",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-225-2193",
    "PracticeLocationAddressFaxNumber": "888-604-2131",
    "EnumerationDate": "01/23/2017",
    "LastUpdateDate": "01/23/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SPIRA",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "LIONEL",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD, MPH, ABPP",
    "AuthorizedOfficialTelephoneNumber": "808-225-2193",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "PSY1332",
        "LicenseNumberStateCode": "HI",
        "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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