{
"Npi": {
"NPI": "1821875063",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCKAY",
"FirstName": "JEFFREY",
"MiddleName": "HALL",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMSW, CASAC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2 MAXWELL DR APT 415",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SLEEPY HOLLOW",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10591-7821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-907-2615",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "92 YONKERS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YONKERS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10707-3911",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-907-2615",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/12/2023",
"LastUpdateDate": "09/12/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "108276",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "36043",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}