NPI Code Detail JSON Logo

1790194959 NPI number — SUSANA YAZMIN SHYMANIK LPC

NPI Number: 1790194959
Health Care Provider/Practitioner: SUSANA YAZMIN SHYMANIK LPC

Information about “1790194959” NPI (SUSANA YAZMIN SHYMANIK LPC) exists in 1790194959 in HTML format HTML  |  1790194959 in plain Text format TXT  |  1790194959 in PDF (Portable Document Format) PDF  |  1790194959 in an XML format XML  formats.

NPI Number : 1790194959 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790194959",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHYMANIK",
    "FirstName": "SUSANA",
    "MiddleName": "YAZMIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1007 N MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAYVILLE",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06241-2170",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-774-2020",
    "MailingAddressFaxNumber": "860-774-0826",
    "FirstLinePracticeLocationAddress": "1007 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYVILLE",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06241-2170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-774-2020",
    "PracticeLocationAddressFaxNumber": "860-774-0826",
    "EnumerationDate": "08/12/2014",
    "LastUpdateDate": "05/15/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "007823",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.