1932590585 NPI number — ALEXANDRU ANDREI DANDESCU M.A. MHC SOTP

NPI Number: 1932590585
Health Care Provider/Practitioner: ALEXANDRU ANDREI DANDESCU M.A. MHC SOTP

NPI Number : 1932590585 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932590585",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANDESCU",
    "FirstName": "ALEXANDRU",
    "MiddleName": "ANDREI",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.A. MHC SOTP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4000 AURORA AVE N",
    "SecondLineMailingAddress": "SUITE 205",
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98103-7873",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-851-5693",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4000 AURORA AVE N",
    "SecondLinePracticeLocationAddress": "SUITE 205",
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98103-7873",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-851-5693",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2015",
    "LastUpdateDate": "02/17/2015",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "LH 60189083",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "FC 00000202",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}