{
"Npi": {
"NPI": "1861396392",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SPECTRUM NEURO BEHAVIORAL CARE PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "30850 BECK RD FL 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NOVI",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48377-1000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-666-2711",
"MailingAddressFaxNumber": "781-666-2712",
"FirstLinePracticeLocationAddress": "30850 BECK RD FL 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NOVI",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48377-1000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-666-2711",
"PracticeLocationAddressFaxNumber": "781-666-2712",
"EnumerationDate": "10/07/2026",
"LastUpdateDate": "10/07/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIAZ",
"AuthorizedOfficialFirstName": "SABEEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "972-666-0964",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084B0040X",
"TaxonomyName": "Behavioral Neurology & Neuropsychiatry Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}