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1982556114 NPI number — ABC COLLECTIVE

NPI Number: 1982556114
Health Care Provider/Practitioner: ABC COLLECTIVE

Information about “1982556114” NPI (ABC COLLECTIVE) exists in 1982556114 in HTML format HTML  |  1982556114 in plain Text format TXT  |  1982556114 in PDF (Portable Document Format) PDF  |  1982556114 in an XML format XML  formats.

NPI Number : 1982556114 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982556114",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ABC COLLECTIVE",
    "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": "1404 OAK TREE RD, STE 4 #297",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ISELIN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08830-1674",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-578-7699",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "349 KINDERKAMACK",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07675",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-578-7699",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/11/2026",
    "LastUpdateDate": "02/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BURCHELL",
    "AuthorizedOfficialFirstName": "ASHLEY",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER/PSYCHOTHERAPIST",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC, LMHC",
    "AuthorizedOfficialTelephoneNumber": "201-578-7699",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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