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1700550803 NPI number — ELEPHANT ON THE COUCH

NPI Number: 1700550803
Health Care Provider/Practitioner: ELEPHANT ON THE COUCH

Information about “1700550803” NPI (ELEPHANT ON THE COUCH) exists in 1700550803 in HTML format HTML  |  1700550803 in plain Text format TXT  |  1700550803 in PDF (Portable Document Format) PDF  |  1700550803 in an XML format XML  formats.

NPI Number : 1700550803 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700550803",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ELEPHANT ON THE COUCH",
    "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": "1345 BARNUM AVENUE",
    "SecondLineMailingAddress": "PMB 260",
    "MailingAddressCityName": "STRATFORD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06614",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-650-8679",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1345 BARNUM AVENUE",
    "SecondLinePracticeLocationAddress": "PMB 260",
    "PracticeLocationAddressCityName": "STRATFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06614",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-650-8679",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2021",
    "LastUpdateDate": "08/03/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COGDELL",
    "AuthorizedOfficialFirstName": "BRITTANNI",
    "AuthorizedOfficialMiddleName": "KORYN",
    "AuthorizedOfficialTitle": "LICENSED PROFESSIONAL COUNSELOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "203-650-8679",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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