NPI Code Detail JSON Logo

1972565208 NPI number — NITI SETH ED.D.

NPI Number: 1972565208
Health Care Provider/Practitioner: NITI SETH ED.D.

Information about “1972565208” NPI (NITI SETH ED.D.) exists in 1972565208 in HTML format HTML  |  1972565208 in plain Text format TXT  |  1972565208 in PDF (Portable Document Format) PDF  |  1972565208 in an XML format XML  formats.

NPI Number : 1972565208 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972565208",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SETH",
    "FirstName": "NITI",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ED.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "875 MASSACHUSETTS AVENUE",
    "SecondLineMailingAddress": "SUITE 24",
    "MailingAddressCityName": "CAMBRIDGE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-642-3586",
    "MailingAddressFaxNumber": "617-489-6925",
    "FirstLinePracticeLocationAddress": "875 MASSACHUSETTS AVENUE",
    "SecondLinePracticeLocationAddress": "SUITE 24",
    "PracticeLocationAddressCityName": "CAMBRIDGE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02139",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-642-3586",
    "PracticeLocationAddressFaxNumber": "617-489-6925",
    "EnumerationDate": "04/03/2006",
    "LastUpdateDate": "03/18/2016",
    "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": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "4954",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PY4954-PR",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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