NPI Code Detail JSON Logo

1609192921 NPI number — M KATHLEEN PARTE-WILLBERGH M.A.

NPI Number: 1609192921
Health Care Provider/Practitioner: M KATHLEEN PARTE-WILLBERGH M.A.

Information about “1609192921” NPI (M KATHLEEN PARTE-WILLBERGH M.A.) exists in 1609192921 in HTML format HTML  |  1609192921 in plain Text format TXT  |  1609192921 in PDF (Portable Document Format) PDF  |  1609192921 in an XML format XML  formats.

NPI Number : 1609192921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609192921",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARTE-WILLBERGH",
    "FirstName": "M",
    "MiddleName": "KATHLEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PARTE",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "KATHLEEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.A.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "208 E MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANASQUAN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08736-3044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-612-3148",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2635 FOX LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANASQUAN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08736-2416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-612-3148",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/12/2010",
    "LastUpdateDate": "04/12/2010",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "37PC00173000",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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