{
"Npi": {
"NPI": "1568595809",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CLEARVIEW PSYCHOTHERAPY ASSOCIATES",
"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": "202 THE COMMONS",
"SecondLineMailingAddress": "SUITE 412",
"MailingAddressCityName": "ITHACA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14850",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-273-1508",
"MailingAddressFaxNumber": "607-273-8326",
"FirstLinePracticeLocationAddress": "202 THE COMMONS",
"SecondLinePracticeLocationAddress": "SUITE 412",
"PracticeLocationAddressCityName": "ITHACA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14850",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-273-1508",
"PracticeLocationAddressFaxNumber": "607-273-8326",
"EnumerationDate": "03/14/2007",
"LastUpdateDate": "06/27/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHIMENTO",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PRESIDENT CLEARVIEW PSYCHOTHERAPY",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW-R",
"AuthorizedOfficialTelephoneNumber": "607-273-1508",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}