NPI Code Detail JSON Logo

1588872790 NPI number — SIM E. GRANOFF PH.D. (PSYCHOLOGY)

NPI Number: 1588872790
Health Care Provider/Practitioner: SIM E. GRANOFF PH.D. (PSYCHOLOGY)

Information about “1588872790” NPI (SIM E. GRANOFF PH.D. (PSYCHOLOGY)) exists in 1588872790 in HTML format HTML  |  1588872790 in plain Text format TXT  |  1588872790 in PDF (Portable Document Format) PDF  |  1588872790 in an XML format XML  formats.

NPI Number : 1588872790 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588872790",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRANOFF",
    "FirstName": "SIM",
    "MiddleName": "E.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D. (PSYCHOLOGY)",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "95-973 WIKAO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILILANI",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96789-3966",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-627-0608",
    "MailingAddressFaxNumber": "808-627-0608",
    "FirstLinePracticeLocationAddress": "95-973 WIKAO ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILILANI",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96789-3966",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-627-0608",
    "PracticeLocationAddressFaxNumber": "808-627-0608",
    "EnumerationDate": "05/19/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TP0016X",
        "TaxonomyName": "Prescribing (Medical) Psychologist",
        "LicenseNumber": "00118",
        "LicenseNumberStateCode": "HI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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