NPI Code Detail JSON Logo

1619277258 NPI number — PHILIP KING IV LMFT

NPI Number: 1619277258
Health Care Provider/Practitioner: PHILIP KING IV LMFT

Information about “1619277258” NPI (PHILIP KING IV LMFT) exists in 1619277258 in HTML format HTML  |  1619277258 in plain Text format TXT  |  1619277258 in PDF (Portable Document Format) PDF  |  1619277258 in an XML format XML  formats.

NPI Number : 1619277258 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619277258",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KING",
    "FirstName": "PHILIP",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": "IV",
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KING",
    "OtherFirstName": "TAD",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMFT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1500 21ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95811-5216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-443-3299",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1500 21ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95811-5216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-443-3299",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2010",
    "LastUpdateDate": "08/19/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "53308",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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