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Healthcare Organization Stored source record

WHOLE PERSON PSYCHOLOGY, APC

769 CENTER BLVD # 144, FAIRFAX, CA, 949301764

atlas:atm_npi_1538858683

Block 1015Block Group 1Census Tract 1141Marin CountyCaliforniaUnited States

What is stored

phone
415-286-5014
status
A
address
769 CENTER BLVD # 144, FAIRFAX, CA, 949301764
npi
1538858683
taxonomy
Psychologist
other names
[]
last updated
2024-03-01
taxonomy code
103T00000X
all taxonomies
["Psychologist"]
enumeration date
2023-05-04
enumeration type
NPI-2
practice locations
0
authorized official
DENISE RENYE
organizational subpart
NO

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{
  "npi": "1538858683",
  "phone": "415-286-5014",
  "status": "A",
  "address": "769 CENTER BLVD # 144, FAIRFAX, CA, 949301764",
  "license": null,
  "taxonomy": "Psychologist",
  "other_names": [],
  "last_updated": "2024-03-01",
  "license_state": null,
  "taxonomy_code": "103T00000X",
  "all_taxonomies": [
    "Psychologist"
  ],
  "enumeration_date": "2023-05-04",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "DENISE RENYE",
  "organizational_subpart": "NO"
}