{
"Npi": {
"NPI": "1760439269",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WOODFORD",
"FirstName": "GINA",
"MiddleName": "ZIRPOLI",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ZIRPOLI",
"OtherFirstName": "GINA",
"OtherMiddleName": "GRACE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PH.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "PO BOX 609001",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN DIEGO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92160-9001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-528-4600",
"MailingAddressFaxNumber": "619-528-4625",
"FirstLinePracticeLocationAddress": "3636 4TH AVE STE 304",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN DIEGO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92103-4294",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-498-5454",
"PracticeLocationAddressFaxNumber": "619-498-5455",
"EnumerationDate": "05/28/2006",
"LastUpdateDate": "08/18/2023",
"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": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "PSY19113",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}