NPI Code Detail JSON Logo

1902811565 NPI number — SAMUEL F SEARS JR. PHD

NPI Number: 1902811565
Health Care Provider/Practitioner: SAMUEL F SEARS JR. PHD

Information about “1902811565” NPI (SAMUEL F SEARS JR. PHD) exists in 1902811565 in HTML format HTML  |  1902811565 in plain Text format TXT  |  1902811565 in PDF (Portable Document Format) PDF  |  1902811565 in an XML format XML  formats.

NPI Number : 1902811565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902811565",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEARS",
    "FirstName": "SAMUEL",
    "MiddleName": "F",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SEARS",
    "OtherFirstName": "SAMUEL",
    "OtherMiddleName": "FRAZER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": "JR.",
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 751069",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28275-1069",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "115 HEART DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27834-8982",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-744-4400",
    "PracticeLocationAddressFaxNumber": "252-744-3987",
    "EnumerationDate": "07/30/2006",
    "LastUpdateDate": "03/05/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PY5538",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "3500",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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