{
"Npi": {
"NPI": "1972889616",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FEINER",
"FirstName": "ADAM",
"MiddleName": "JOSEPH",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PSY.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FEINER",
"OtherFirstName": "ADAM",
"OtherMiddleName": "J.",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PSY.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "4700 WISSAHICKON AVE",
"SecondLineMailingAddress": "BUILDING D, SUITE 118",
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19144-4248",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "267-597-3677",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4700 WISSAHICKON AVE",
"SecondLinePracticeLocationAddress": "BUILDING D, SUITE 118",
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19144-4248",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-597-3677",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/26/2011",
"LastUpdateDate": "10/26/2011",
"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": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "PS017110",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}