{
"Npi": {
"NPI": "1932439338",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MISRA",
"FirstName": "TEJAL",
"MiddleName": null,
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TOPRANI",
"OtherFirstName": "TEJAL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "550 GOLDEN SPRINGS DR",
"SecondLineMailingAddress": "A",
"MailingAddressCityName": "DIAMOND BAR",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91765-1463",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-702-0337",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9393 N 90TH ST STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCOTTSDALE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85258-5073",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-225-3549",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/06/2010",
"LastUpdateDate": "07/16/2025",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "ASW 26171",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}