NPI Code Detail JSON Logo

1548067556 NPI number — KISMET BEHAVIORAL SERVICES

NPI Number: 1548067556
Health Care Provider/Practitioner: KISMET BEHAVIORAL SERVICES

Information about “1548067556” NPI (KISMET BEHAVIORAL SERVICES) exists in 1548067556 in HTML format HTML  |  1548067556 in plain Text format TXT  |  1548067556 in PDF (Portable Document Format) PDF  |  1548067556 in an XML format XML  formats.

NPI Number : 1548067556 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548067556",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KISMET BEHAVIORAL SERVICES",
    "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": "3208 RAYMOND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45042-2549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "574-540-7223",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3208 RAYMOND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45042-2549",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "574-540-7223",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/26/2025",
    "LastUpdateDate": "02/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAYLOR",
    "AuthorizedOfficialFirstName": "ERIN",
    "AuthorizedOfficialMiddleName": "RENEE",
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BCBA",
    "AuthorizedOfficialTelephoneNumber": "573-540-7223",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD1600X",
        "TaxonomyName": "Developmental Disabilities Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.