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1609820398 NPI number — IDALIA E. MCGIVERN PH.D.

NPI Number: 1609820398
Health Care Provider/Practitioner: IDALIA E. MCGIVERN PH.D.

Information about “1609820398” NPI (IDALIA E. MCGIVERN PH.D.) exists in 1609820398 in HTML format HTML  |  1609820398 in plain Text format TXT  |  1609820398 in PDF (Portable Document Format) PDF  |  1609820398 in an XML format XML  formats.

NPI Number : 1609820398 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609820398",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGIVERN",
    "FirstName": "IDALIA",
    "MiddleName": "E.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CANEZ",
    "OtherFirstName": "IDALIA",
    "OtherMiddleName": "E.",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9340 FUERTE DR",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "LA MESA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91941-4164",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-303-0826",
    "MailingAddressFaxNumber": "619-315-0454",
    "FirstLinePracticeLocationAddress": "9340 FUERTE DR",
    "SecondLinePracticeLocationAddress": "SUITE 300",
    "PracticeLocationAddressCityName": "LA MESA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91941-4164",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-303-0826",
    "PracticeLocationAddressFaxNumber": "619-315-0454",
    "EnumerationDate": "05/19/2006",
    "LastUpdateDate": "07/30/2013",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY18250",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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