NPI Code Detail JSON Logo

1720874514 NPI number — MAGDALENE CARE NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PLLC

NPI Number: 1720874514
Health Care Provider/Practitioner: MAGDALENE CARE NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PLLC

Information about “1720874514” NPI (MAGDALENE CARE NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PLLC) exists in 1720874514 in HTML format HTML  |  1720874514 in plain Text format TXT  |  1720874514 in PDF (Portable Document Format) PDF  |  1720874514 in an XML format XML  formats.

NPI Number : 1720874514 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720874514",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAGDALENE CARE NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PLLC",
    "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": "418 BROADWAY STE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12207-2922",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-519-6953",
    "MailingAddressFaxNumber": "800-752-2534",
    "FirstLinePracticeLocationAddress": "418 BROADWAY STE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12207-2922",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-519-6953",
    "PracticeLocationAddressFaxNumber": "800-752-2534",
    "EnumerationDate": "04/17/2025",
    "LastUpdateDate": "04/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COLEMAN",
    "AuthorizedOfficialFirstName": "MAGDALENE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP",
    "AuthorizedOfficialTelephoneNumber": "360-519-6953",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1300X",
        "TaxonomyName": "Multi-Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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