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1821486374 NPI number — GREATER WORCESTER PSYCHOTHERAPY AND ASSESSMENTSLLC

NPI Number: 1821486374
Health Care Provider/Practitioner: GREATER WORCESTER PSYCHOTHERAPY AND ASSESSMENTSLLC

Information about “1821486374” NPI (GREATER WORCESTER PSYCHOTHERAPY AND ASSESSMENTSLLC) exists in 1821486374 in HTML format HTML  |  1821486374 in plain Text format TXT  |  1821486374 in PDF (Portable Document Format) PDF  |  1821486374 in an XML format XML  formats.

NPI Number : 1821486374 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821486374",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GREATER WORCESTER PSYCHOTHERAPY AND ASSESSMENTSLLC",
    "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": "30 PARK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WORCESTER",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01605-3911",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-341-3379",
    "MailingAddressFaxNumber": "508-755-0973",
    "FirstLinePracticeLocationAddress": "30 PARK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WORCESTER",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01605-3911",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-341-3379",
    "PracticeLocationAddressFaxNumber": "508-755-0973",
    "EnumerationDate": "01/07/2015",
    "LastUpdateDate": "01/07/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABELLI",
    "AuthorizedOfficialFirstName": "RICHARD",
    "AuthorizedOfficialMiddleName": "BERNARD",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ABD. LMHC",
    "AuthorizedOfficialTelephoneNumber": "508-341-3379",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "5473",
        "LicenseNumberStateCode": "MA",
        "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."
      }
    }
  }
}
                
            

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