{
"Npi": {
"NPI": "1548385289",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOLMES",
"FirstName": "CYNTHIA",
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"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.A.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HOLMES",
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"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "LMFT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2961 E HILLSIDE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST COVINA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91791-3769",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-918-2085",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1501 W CAMERON AVE",
"SecondLinePracticeLocationAddress": "SUITE 110-5",
"PracticeLocationAddressCityName": "WEST COVINA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91790-2724",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-221-9555",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/20/2007",
"LastUpdateDate": "11/23/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC45565",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}