NPI Code Detail JSON Logo

1629680509 NPI number — PHILIP ANDREW LIBBY PSYCHOANALYSIS PC

NPI Number: 1629680509
Health Care Provider/Practitioner: PHILIP ANDREW LIBBY PSYCHOANALYSIS PC

Information about “1629680509” NPI (PHILIP ANDREW LIBBY PSYCHOANALYSIS PC) exists in 1629680509 in HTML format HTML  |  1629680509 in plain Text format TXT  |  1629680509 in PDF (Portable Document Format) PDF  |  1629680509 in an XML format XML  formats.

NPI Number : 1629680509 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629680509",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PHILIP ANDREW LIBBY PSYCHOANALYSIS PC",
    "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": "104 CEDAR LN APT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGHLAND PARK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08904-2090",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "632-543-5112",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "116 W 23RD ST FL 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10011-2599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-630-6920",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/20/2020",
    "LastUpdateDate": "08/20/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIBBY",
    "AuthorizedOfficialFirstName": "PHILIP",
    "AuthorizedOfficialMiddleName": "ANDREW",
    "AuthorizedOfficialTitle": "PSYCHOANALYST",
    "AuthorizedOfficialNamePrefix": "PROF.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LP",
    "AuthorizedOfficialTelephoneNumber": "732-543-5112",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "102L00000X",
        "TaxonomyName": "Psychoanalyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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