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1962308650 NPI number — NOIR PSYCHIATRY, PLLC

NPI Number: 1962308650
Health Care Provider/Practitioner: NOIR PSYCHIATRY, PLLC

Information about “1962308650” NPI (NOIR PSYCHIATRY, PLLC) exists in 1962308650 in HTML format HTML  |  1962308650 in plain Text format TXT  |  1962308650 in PDF (Portable Document Format) PDF  |  1962308650 in an XML format XML  formats.

NPI Number : 1962308650 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962308650",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NOIR PSYCHIATRY, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15 METROTECH CTR, FLOOR 7",
    "SecondLineMailingAddress": "PMB 17578590",
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-284-8130",
    "MailingAddressFaxNumber": "917-967-2115",
    "FirstLinePracticeLocationAddress": "115 MYRTLE AVE FL 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-284-8130",
    "PracticeLocationAddressFaxNumber": "917-967-2115",
    "EnumerationDate": "10/19/2026",
    "LastUpdateDate": "10/19/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CRUM",
    "AuthorizedOfficialFirstName": "ISAIAH",
    "AuthorizedOfficialMiddleName": "TOBIAS",
    "AuthorizedOfficialTitle": "FOUNDER & PSYCHIATRIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "917-284-8130",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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