{
"Npi": {
"NPI": "1760783138",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MONETATHCHI",
"FirstName": "JUDITH",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MFTI",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "69601 CIMARRON COURT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CATHEDRAL CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92234-4926",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-770-0427",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "490 S FARRELL DR",
"SecondLinePracticeLocationAddress": "SUITE C 208",
"PracticeLocationAddressCityName": "PALM SPRINGS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92262-7992",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-325-4088",
"PracticeLocationAddressFaxNumber": "760-778-3781",
"EnumerationDate": "11/16/2010",
"LastUpdateDate": "11/18/2015",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "IMF 64814",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}