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1568156180 NPI number — CROSBY ALYSE MODROWSKI PHD

NPI Number: 1568156180
Health Care Provider/Practitioner: CROSBY ALYSE MODROWSKI PHD

Information about “1568156180” NPI (CROSBY ALYSE MODROWSKI PHD) exists in 1568156180 in HTML format HTML  |  1568156180 in plain Text format TXT  |  1568156180 in PDF (Portable Document Format) PDF  |  1568156180 in an XML format XML  formats.

NPI Number : 1568156180 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568156180",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MODROWSKI",
    "FirstName": "CROSBY",
    "MiddleName": "ALYSE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "57 MOUNT HOPE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRISTOL",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02809-3523",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-206-0232",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "495 HOPE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRISTOL",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02809-1848",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-206-0232",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2023",
    "LastUpdateDate": "01/24/2024",
    "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": "103TC2200X",
          "TaxonomyName": "Clinical Child & Adolescent Psychologist",
          "LicenseNumber": "PS01935",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PS01935",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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