{
"Npi": {
"NPI": "1699806695",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SANDRA DAWSON, MA, MFT, MARRIAGE & FAMILY COUNSELING, APC",
"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": "4077 GLENCOE AVE",
"SecondLineMailingAddress": "#109",
"MailingAddressCityName": "MARINA DEL REY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90292-5870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-291-2201",
"MailingAddressFaxNumber": "432-206-6112",
"FirstLinePracticeLocationAddress": "4077 GLENCOE AVE",
"SecondLinePracticeLocationAddress": "#109",
"PracticeLocationAddressCityName": "MARINA DEL REY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90292-5870",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-291-2201",
"PracticeLocationAddressFaxNumber": "432-206-6112",
"EnumerationDate": "03/08/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAWSON",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA, MFT",
"AuthorizedOfficialTelephoneNumber": "310-291-2201",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC35360",
"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."
}
}
}
}