{
"Npi": {
"NPI": "1609908250",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CASTILLO-EDDY",
"FirstName": "DIANA",
"MiddleName": "XIMENA",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MS.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CASTILLO",
"OtherFirstName": "DIANA",
"OtherMiddleName": "XIMENA",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "MS.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 1854",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARCADIA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91077",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-375-7224",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "715 N CENTRAL AVE",
"SecondLinePracticeLocationAddress": "SUITE 108",
"PracticeLocationAddressCityName": "GLENDALE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91203-4262",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-375-7224",
"PracticeLocationAddressFaxNumber": "818-484-8177",
"EnumerationDate": "03/09/2007",
"LastUpdateDate": "01/16/2013",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC 46085",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}