NPI Code Detail JSON Logo

1972896587 NPI number — COMPASS POINT ADOLESCENT SERVICES

NPI Number: 1972896587
Health Care Provider/Practitioner: COMPASS POINT ADOLESCENT SERVICES

Information about “1972896587” NPI (COMPASS POINT ADOLESCENT SERVICES) exists in 1972896587 in HTML format HTML  |  1972896587 in plain Text format TXT  |  1972896587 in PDF (Portable Document Format) PDF  |  1972896587 in an XML format XML  formats.

NPI Number : 1972896587 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972896587",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPASS POINT ADOLESCENT SERVICES",
    "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": "225 N SAINT JOSEPH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HASTINGS",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68901-7555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-463-5075",
    "MailingAddressFaxNumber": "402-463-5073",
    "FirstLinePracticeLocationAddress": "225 N SAINT JOSEPH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HASTINGS",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68901-7555",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-463-5075",
    "PracticeLocationAddressFaxNumber": "402-463-5073",
    "EnumerationDate": "05/16/2011",
    "LastUpdateDate": "05/16/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAISS",
    "AuthorizedOfficialFirstName": "DOYLE",
    "AuthorizedOfficialMiddleName": "DEWAYNE",
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS. ED.",
    "AuthorizedOfficialTelephoneNumber": "402-463-5075",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "77",
        "LicenseNumberStateCode": "NE",
        "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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