{
"Npi": {
"NPI": "1588948723",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "NORTHERN INTEGRATED HEALTH INC",
"ParentOrgTIN": null,
"OrgName": "NORTHERN INTEGRATED HEALTH INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12450 WAYZATA BLVD STE 107",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MINNETONKA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55305-1926",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-545-4241",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12450 WAYZATA BLVD STE 107",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MINNETONKA",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55305-1926",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "952-545-4241",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/06/2011",
"LastUpdateDate": "10/06/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHLUTTER",
"AuthorizedOfficialFirstName": "LOIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/OPERATER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "952-548-9340",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}