1881771228 NPI number — MELONIE DYANNE FELDSTEIN LPCC/S, RPT-S

NPI Number: 1881771228
Health Care Provider/Practitioner: MELONIE DYANNE FELDSTEIN LPCC/S, RPT-S

NPI Number : 1881771228 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881771228",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FELDSTEIN",
    "FirstName": "MELONIE",
    "MiddleName": "DYANNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPCC/S, RPT-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GROSSER",
    "OtherFirstName": "MELONIE",
    "OtherMiddleName": "D",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4424 CARVER WOODS DR STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLUE ASH",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45242-5535",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-793-3661",
    "MailingAddressFaxNumber": "513-793-3661",
    "FirstLinePracticeLocationAddress": "4424 CARVER WOODS DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUE ASH",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45242-5535",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-793-3661",
    "PracticeLocationAddressFaxNumber": "513-793-3661",
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "12/10/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "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": "E-0004180",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "E 0004180",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}