{
"Npi": {
"NPI": "1740472174",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ATLAS BEHAVIORAL HEALTH, PA",
"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": "50 LEANNI WAY UNIT B3",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM COAST",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32137-4754",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-446-5494",
"MailingAddressFaxNumber": "386-447-1357",
"FirstLinePracticeLocationAddress": "50 LEANNI WAY UNIT B3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALM COAST",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32137-4754",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-446-5494",
"PracticeLocationAddressFaxNumber": "386-447-1357",
"EnumerationDate": "08/09/2007",
"LastUpdateDate": "11/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VACCHELLI",
"AuthorizedOfficialFirstName": "KATHLEEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS,ARNP",
"AuthorizedOfficialTelephoneNumber": "386-446-5494",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}