{
"Npi": {
"NPI": "1821275728",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HEALTH NET, INC.",
"ParentOrgTIN": null,
"OrgName": "HEALTH NET OF CONNECTICUT, 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": "ONE FAR MILL CROSSING",
"SecondLineMailingAddress": "MAIL STOP: CT-900-02-07",
"MailingAddressCityName": "SHELTON",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06484-6121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-848-4747",
"MailingAddressFaxNumber": "610-768-0288",
"FirstLinePracticeLocationAddress": "ONE FAR MILL CROSSING",
"SecondLinePracticeLocationAddress": "MAIL STOP: CT-900-02-07",
"PracticeLocationAddressCityName": "SHELTON",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06484-6121",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-848-4747",
"PracticeLocationAddressFaxNumber": "610-768-0288",
"EnumerationDate": "01/23/2008",
"LastUpdateDate": "01/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAMBDIN",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "PRESIDENT, HEALTH NET, NORTHEAST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-225-8168",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}