{
"Npi": {
"NPI": "1609121268",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASCENSION CENTER FOR CONTEMPLATIVE PSYCHOLOGY",
"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": "1 CRAVEN LN",
"SecondLineMailingAddress": "UNIT 6303",
"MailingAddressCityName": "LAWRENCEVILLE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08648-8000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-684-9707",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12 ROSZEL RD",
"SecondLinePracticeLocationAddress": "SUITE B204",
"PracticeLocationAddressCityName": "PRINCETON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08540-6234",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-684-9707",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/19/2012",
"LastUpdateDate": "06/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAYTAS",
"AuthorizedOfficialFirstName": "LORIANN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "732-684-9707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "44SC05220200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}