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1649219866 NPI number — KAREN BECKSTRAND PSYD

NPI Number: 1649219866
Health Care Provider/Practitioner: KAREN BECKSTRAND PSYD

Information about “1649219866” NPI (KAREN BECKSTRAND PSYD) exists in 1649219866 in HTML format HTML  |  1649219866 in plain Text format TXT  |  1649219866 in PDF (Portable Document Format) PDF  |  1649219866 in an XML format XML  formats.

NPI Number : 1649219866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649219866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BECKSTRAND",
    "FirstName": "KAREN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STOUT",
    "OtherFirstName": "KAREN",
    "OtherMiddleName": "BECKSTRAND",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "22918 N WOODCREST CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KILDEER",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60047-7844",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-550-0092",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1480 RENAISSANCE DR",
    "SecondLinePracticeLocationAddress": "SUITE 212",
    "PracticeLocationAddressCityName": "PARK RIDGE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60068-1332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-550-0092",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2006",
    "LastUpdateDate": "07/08/2007",
    "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": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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