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1548746027 NPI number — NICOLE GREENWOOD LMFT126008, APCC6647

NPI Number: 1548746027
Health Care Provider/Practitioner: NICOLE GREENWOOD LMFT126008, APCC6647

Information about “1548746027” NPI (NICOLE GREENWOOD LMFT126008, APCC6647) exists in 1548746027 in HTML format HTML  |  1548746027 in plain Text format TXT  |  1548746027 in PDF (Portable Document Format) PDF  |  1548746027 in an XML format XML  formats.

NPI Number : 1548746027 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548746027",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREENWOOD",
    "FirstName": "NICOLE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMFT126008, APCC6647",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BOZZO",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "AMFT114454 APCC6647",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 3087",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMICHAEL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95609-3087",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-258-2187",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2617 K ST STE 125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95816-5133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-258-2187",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2018",
    "LastUpdateDate": "04/15/2025",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "126008",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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