{
"Npi": {
"NPI": "1891994596",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TELECARE CORPORATION",
"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": "1080 MARINA VILLAGE PKWY",
"SecondLineMailingAddress": "STE 100",
"MailingAddressCityName": "ALAMEDA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94501-1078",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-337-7950",
"MailingAddressFaxNumber": "510-337-7969",
"FirstLinePracticeLocationAddress": "500 JEFFERSON BLVD",
"SecondLinePracticeLocationAddress": "BLDG. B, SUITE 150",
"PracticeLocationAddressCityName": "WEST SACRAMENTO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95605-2350",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-376-8594",
"PracticeLocationAddressFaxNumber": "916-376-8595",
"EnumerationDate": "07/12/2007",
"LastUpdateDate": "03/29/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANGFELD",
"AuthorizedOfficialFirstName": "MARSHALL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CFO,SVP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "510-337-7950",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}