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1679088363 NPI number — CENTER FOR THERAPY AND MINDFULNESS

NPI Number: 1679088363
Health Care Provider/Practitioner: CENTER FOR THERAPY AND MINDFULNESS

Information about “1679088363” NPI (CENTER FOR THERAPY AND MINDFULNESS) exists in 1679088363 in HTML format HTML  |  1679088363 in plain Text format TXT  |  1679088363 in PDF (Portable Document Format) PDF  |  1679088363 in an XML format XML  formats.

NPI Number : 1679088363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679088363",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTER FOR THERAPY AND MINDFULNESS",
    "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": "2807 N 51ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85008-1613",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-256-0429",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2807 N 51ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85008-1613",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-256-0429",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/05/2017",
    "LastUpdateDate": "12/05/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVIS",
    "AuthorizedOfficialFirstName": "STACI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "LICENSED PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D",
    "AuthorizedOfficialTelephoneNumber": "480-410-2238",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": "4519",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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