{
"Npi": {
"NPI": "1538356696",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOHAMED AND REHANA HUSSAIN MD, PA",
"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": "10100 QUINCE APPLE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UPPER MARLBORO",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20772-3871",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-893-0666",
"MailingAddressFaxNumber": "301-934-9321",
"FirstLinePracticeLocationAddress": "7 POST OFFICE RD STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WALDORF",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20602-2744",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-893-0666",
"PracticeLocationAddressFaxNumber": "301-934-9321",
"EnumerationDate": "10/02/2007",
"LastUpdateDate": "11/28/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUSSAIN",
"AuthorizedOfficialFirstName": "REHANA",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "MD, PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "301-943-4443",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "D43557",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}