{
"Npi": {
"NPI": "1710846829",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SAUCEDA",
"FirstName": "MARY",
"MiddleName": "HELEN",
"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": "PO BOX 7887",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EWING",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08628-0887",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-776-6636",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "353 NASSAU ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PRINCETON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08540-4623",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-924-0060",
"PracticeLocationAddressFaxNumber": "609-924-7436",
"EnumerationDate": "01/15/2026",
"LastUpdateDate": "01/15/2026",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "37LC00334300",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "37PC01200700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}