1548331382 NPI number — VICTORIA BELINDA KIRUBAKARAN M.S. L.M.L.P., L.C.P

NPI Number: 1548331382
Health Care Provider/Practitioner: VICTORIA BELINDA KIRUBAKARAN M.S. L.M.L.P., L.C.P

NPI Number : 1548331382 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548331382",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIRUBAKARAN",
    "FirstName": "VICTORIA",
    "MiddleName": "BELINDA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S. L.M.L.P., L.C.P",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13004 EBY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OVERLAND PARK",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66213-4639",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-706-2053",
    "MailingAddressFaxNumber": "913-229-6406",
    "FirstLinePracticeLocationAddress": "13004 EBY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OVERLAND PARK",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66213-4639",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-706-2053",
    "PracticeLocationAddressFaxNumber": "913-229-6406",
    "EnumerationDate": "11/13/2006",
    "LastUpdateDate": "09/23/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "0656",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "1999142241",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "216",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}