NPI Code Detail JSON Logo

1811489966 NPI number — ALYSSA ZAJDEL PHD

NPI Number: 1811489966
Health Care Provider/Practitioner: ALYSSA ZAJDEL PHD

Information about “1811489966” NPI (ALYSSA ZAJDEL PHD) exists in 1811489966 in HTML format HTML  |  1811489966 in plain Text format TXT  |  1811489966 in PDF (Portable Document Format) PDF  |  1811489966 in an XML format XML  formats.

NPI Number : 1811489966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811489966",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZAJDEL",
    "FirstName": "ALYSSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BISCHMANN",
    "OtherFirstName": "ALYSSA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5011 N KENT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITEFISH BAY",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53217-5521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-235-7683",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9120 W HAMPTON AVE STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53225-4960",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-235-7683",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2018",
    "LastUpdateDate": "12/29/2025",
    "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": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "4060-57",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PY11363",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "11046",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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