NPI Code Detail JSON Logo

1750019733 NPI number — KIMBERLY ORTH LCSW PC

NPI Number: 1750019733
Health Care Provider/Practitioner: KIMBERLY ORTH LCSW PC

Information about “1750019733” NPI (KIMBERLY ORTH LCSW PC) exists in 1750019733 in HTML format HTML  |  1750019733 in plain Text format TXT  |  1750019733 in PDF (Portable Document Format) PDF  |  1750019733 in an XML format XML  formats.

NPI Number : 1750019733 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750019733",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KIMBERLY ORTH LCSW PC",
    "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": "PO BOX 174",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT JAMES",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11780-0174",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "170 TREDWELL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT JAMES",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11780-2814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-263-2672",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/09/2022",
    "LastUpdateDate": "08/09/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ORTH",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "516-263-2672",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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