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1689569501 NPI number — JOYE CAROLINE ANESTIS PHD

NPI Number: 1689569501
Health Care Provider/Practitioner: JOYE CAROLINE ANESTIS PHD

Information about “1689569501” NPI (JOYE CAROLINE ANESTIS PHD) exists in 1689569501 in HTML format HTML  |  1689569501 in plain Text format TXT  |  1689569501 in PDF (Portable Document Format) PDF  |  1689569501 in an XML format XML  formats.

NPI Number : 1689569501 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689569501",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANESTIS",
    "FirstName": "JOYE",
    "MiddleName": "CAROLINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COX",
    "OtherFirstName": "JOYE",
    "OtherMiddleName": "CAROLINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "683 HOES LANE WEST",
    "SecondLineMailingAddress": "RUTGERS SCHOOL OF PUBLIC HEALTH",
    "MailingAddressCityName": "PISCATAWAY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08854",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "303 GEORGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BRUNSWICK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08901-2020",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-235-6800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/11/2025",
    "LastUpdateDate": "06/11/2025",
    "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": "54954",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "35SI00778600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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