{
"Npi": {
"NPI": "1811228331",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CAROL PERLMAN, PH.D., P.C.",
"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": "165 MAIN ST.",
"SecondLineMailingAddress": "SUITE 203",
"MailingAddressCityName": "MEDWAY",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02053",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-533-3530",
"MailingAddressFaxNumber": "774-324-3002",
"FirstLinePracticeLocationAddress": "165 MAIN ST.",
"SecondLinePracticeLocationAddress": "SUITE 203",
"PracticeLocationAddressCityName": "MEDWAY",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02053",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-533-3530",
"PracticeLocationAddressFaxNumber": "774-324-3002",
"EnumerationDate": "01/22/2010",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PERLMAN",
"AuthorizedOfficialFirstName": "CAROL",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "LICENSED PSYCHOLOGIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PH.D.",
"AuthorizedOfficialTelephoneNumber": "617-308-9438",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "7932",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103TB0200X",
"TaxonomyName": "Cognitive & Behavioral Psychologist",
"LicenseNumber": "7932",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}