{
"Npi": {
"NPI": "1629581392",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STEPHANIE GARCIA",
"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": "291 ELLSWORTH ST APT 1D",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIDGEPORT",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06605-3130",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "666 GLENBROOK RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STAMFORD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06906-1439",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "475-422-2878",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/15/2017",
"LastUpdateDate": "11/15/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANTIAGO",
"AuthorizedOfficialFirstName": "MICHELLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "INSURANCE SPECIALIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-278-9131",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "3051",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}