NPI Code Detail JSON Logo

1811456478 NPI number — PMNI, INC.

NPI Number: 1811456478
Health Care Provider/Practitioner: PMNI, INC.

Information about “1811456478” NPI (PMNI, INC.) exists in 1811456478 in HTML format HTML  |  1811456478 in plain Text format TXT  |  1811456478 in PDF (Portable Document Format) PDF  |  1811456478 in an XML format XML  formats.

NPI Number : 1811456478 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811456478",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PMNI, INC.",
    "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": "5776D LINDERO CANYON RD STE 469",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTLAKE VILLAGE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91362-4088",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-378-0547",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "609 DEEP VALLEY DR STE 241",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROLLING HILLS ESTATES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90274-3629",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-378-0547",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/13/2019",
    "LastUpdateDate": "08/31/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JUNG",
    "AuthorizedOfficialFirstName": "VANESSA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D.",
    "AuthorizedOfficialTelephoneNumber": "310-378-0547",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TH0004X",
          "TaxonomyName": "Health Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0600X",
          "TaxonomyName": "Clinical Neurophysiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "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."
        },
        {
          "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."
        },
        {
          "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."
        },
        {
          "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."
        }
      ]
    }
  }
}
                
            

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