{
"Npi": {
"NPI": "1811901796",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JACK H SCHNEL EDD ABPP PC",
"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": "734 SILVER SPUR ROAD",
"SecondLineMailingAddress": "#203",
"MailingAddressCityName": "ROLLING HILLS ESTATES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90274",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-377-5477",
"MailingAddressFaxNumber": "310-377-7259",
"FirstLinePracticeLocationAddress": "734 SILVER SPUR ROAD",
"SecondLinePracticeLocationAddress": "#203",
"PracticeLocationAddressCityName": "ROLLING HILLS ESTATES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90274",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-377-5477",
"PracticeLocationAddressFaxNumber": "310-377-7259",
"EnumerationDate": "07/28/2006",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHNEL",
"AuthorizedOfficialFirstName": "JACK",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "PRESIDENT OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "EDD",
"AuthorizedOfficialTelephoneNumber": "310-377-5477",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "PSY9595",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "12935",
"LicenseNumberStateCode": "CA",
"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."
}
]
}
}
}