NPI Code Detail JSON Logo

1982367942 NPI number — SUSAN EICK PSYD INC

NPI Number: 1982367942
Health Care Provider/Practitioner: SUSAN EICK PSYD INC

Information about “1982367942” NPI (SUSAN EICK PSYD INC) exists in 1982367942 in HTML format HTML  |  1982367942 in plain Text format TXT  |  1982367942 in PDF (Portable Document Format) PDF  |  1982367942 in an XML format XML  formats.

NPI Number : 1982367942 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982367942",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUSAN EICK PSYD INC",
    "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": "3043 SMOKY HOLLOW RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LYNCHBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24504-4347",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "434-993-8124",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "137 LAXTON RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LYNCHBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24502-5294",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "434-993-8124",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/18/2021",
    "LastUpdateDate": "11/22/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EICK",
    "AuthorizedOfficialFirstName": "SUSAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSYD",
    "AuthorizedOfficialTelephoneNumber": "434-933-8124",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "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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