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1689949463 NPI number — JEFF SCHANOWITZ, PH.D.

NPI Number: 1689949463
Health Care Provider/Practitioner: JEFF SCHANOWITZ, PH.D.

Information about “1689949463” NPI (JEFF SCHANOWITZ, PH.D.) exists in 1689949463 in HTML format HTML  |  1689949463 in plain Text format TXT  |  1689949463 in PDF (Portable Document Format) PDF  |  1689949463 in an XML format XML  formats.

NPI Number : 1689949463 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689949463",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JEFF SCHANOWITZ, PH.D.",
    "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": "2673 MATERA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92108-6737",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-252-3713",
    "MailingAddressFaxNumber": "619-297-6600",
    "FirstLinePracticeLocationAddress": "2831 CAMINO DEL RIO S",
    "SecondLinePracticeLocationAddress": "213",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92108-3802",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-252-3713",
    "PracticeLocationAddressFaxNumber": "619-297-6600",
    "EnumerationDate": "03/13/2012",
    "LastUpdateDate": "03/13/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHANOWITZ",
    "AuthorizedOfficialFirstName": "JEFF",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D.",
    "AuthorizedOfficialTelephoneNumber": "619-252-3713",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY20362",
        "LicenseNumberStateCode": "CA",
        "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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