{
"Npi": {
"NPI": "1598123846",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANTHONY GAUDIOSO, PHD, LMHC , PC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "79 SAINT JAMES ST",
"SecondLineMailingAddress": "SECOND FLOOR",
"MailingAddressCityName": "KINGSTON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12401-4513",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-470-9224",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "79 SAINT JAMES ST",
"SecondLinePracticeLocationAddress": "SECOND FLOOR",
"PracticeLocationAddressCityName": "KINGSTON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12401-4513",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-470-9224",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/02/2016",
"LastUpdateDate": "08/02/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUADIOSO",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/CLINICAL COUNSELOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC, PHD",
"AuthorizedOfficialTelephoneNumber": "917-470-9224",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "P99440",
"LicenseNumberStateCode": "NY",
"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."
}
}
}
}