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1841448628 NPI number — A & A PSYCHOTHERAPY ASSOCIATES PC

NPI Number: 1841448628
Health Care Provider/Practitioner: A & A PSYCHOTHERAPY ASSOCIATES PC

Information about “1841448628” NPI (A & A PSYCHOTHERAPY ASSOCIATES PC) exists in 1841448628 in HTML format HTML  |  1841448628 in plain Text format TXT  |  1841448628 in PDF (Portable Document Format) PDF  |  1841448628 in an XML format XML  formats.

NPI Number : 1841448628 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841448628",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A & A PSYCHOTHERAPY ASSOCIATES 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": "PO BOX 564",
    "SecondLineMailingAddress": "A & A PSYCHOTHERAPY ASSOCIATES PC",
    "MailingAddressCityName": "OKEMOS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48805-0564",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-349-4111",
    "MailingAddressFaxNumber": "517-347-6999",
    "FirstLinePracticeLocationAddress": "4211 OKEMOS ROAD",
    "SecondLinePracticeLocationAddress": "SUITE #1 A & A PSYCHOTHERAPY ASSOCIATES PC",
    "PracticeLocationAddressCityName": "OKEMOS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48864-3287",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-349-4111",
    "PracticeLocationAddressFaxNumber": "517-347-6999",
    "EnumerationDate": "09/04/2008",
    "LastUpdateDate": "09/04/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARELLANO LOPEZ",
    "AuthorizedOfficialFirstName": "JUAN",
    "AuthorizedOfficialMiddleName": "JOSE",
    "AuthorizedOfficialTitle": "PSYCHOTHERAPIST & PRESIDENT OF CORP",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSW MA LMSW LMFT",
    "AuthorizedOfficialTelephoneNumber": "517-349-4111",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "4101005356",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "6801016329",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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