{
"Npi": {
"NPI": "1639382104",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GRAU",
"FirstName": "MARIA DEL CARMEN",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GRAU",
"OtherFirstName": "CARMEN",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PH.D.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "545 WEST END AVENUE",
"SecondLineMailingAddress": "10B",
"MailingAddressCityName": "NEW YORK CITY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-865-7210",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "149 W 93ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW YORK CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10025",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-865-7210",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/08/2007",
"LastUpdateDate": "10/23/2013",
"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": "011024",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}