NPI Code Detail JSON Logo

1598246639 NPI number — CARA MCKELVEY DURBIN LMFT 136397

NPI Number: 1598246639
Health Care Provider/Practitioner: CARA MCKELVEY DURBIN LMFT 136397

Information about “1598246639” NPI (CARA MCKELVEY DURBIN LMFT 136397) exists in 1598246639 in HTML format HTML  |  1598246639 in plain Text format TXT  |  1598246639 in PDF (Portable Document Format) PDF  |  1598246639 in an XML format XML  formats.

NPI Number : 1598246639 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598246639",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DURBIN",
    "FirstName": "CARA",
    "MiddleName": "MCKELVEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT 136397",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2579 SAN PABLO AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94612-1159",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-446-7100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2579 SAN PABLO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94612-1159",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-446-7100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2018",
    "LastUpdateDate": "12/20/2022",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "112572",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "136397",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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