{
"Npi": {
"NPI": "1831501535",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WENDY L. CRAYOSKY,LLC",
"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": "6350 NICHOLAS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTINGDON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16652-8500",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-693-6500",
"MailingAddressFaxNumber": "814-693-6500",
"FirstLinePracticeLocationAddress": "518 MULBERRY ST",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "HOLLIDAYSBURG",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16648-1837",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-693-6500",
"PracticeLocationAddressFaxNumber": "814-693-6500",
"EnumerationDate": "05/29/2014",
"LastUpdateDate": "05/29/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAYOSKY",
"AuthorizedOfficialFirstName": "WENDY",
"AuthorizedOfficialMiddleName": "LANE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "L.C.S.W.",
"AuthorizedOfficialTelephoneNumber": "814-693-6500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "CW013601",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}