[{"First Name":"Jonathan","Last Name":"Raines","NPI":"1720444581","Specialty":"Psychiatry","Optout Effective Date":"1\/30\/1998","Optout End Date":"1\/30\/2028","First Line Street Address":"1629 MONK RD","Second Line Street Address":"P O BOX 470","City Name":"GLADWYNE","State Code":"PA","Zip code":"190351349","Eligible to Order and Refer":"N","Last updated":"2\/16\/2026"},{"First Name":"Kevin","Last Name":"Carlson","NPI":"1811981905","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"10700 CHARTER DRIVE","Second Line Street Address":"","City Name":"COLUMBIA","State Code":"MD","Zip code":"21044","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Bruce","Last Name":"Shapiro","NPI":"1548271240","Specialty":"Psychiatry","Optout Effective Date":"12\/28\/2015","Optout End Date":"12\/28\/2027","First Line Street Address":"666 GLENBROK RD","Second Line Street Address":"","City Name":"STAMFORD","State Code":"CT","Zip code":"69061439","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Alan","Last Name":"Mcfarland","NPI":"1861482408","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2018","Optout End Date":"1\/1\/2028","First Line Street Address":"7330 MCWHORTER PL","Second Line Street Address":"STE B","City Name":"ANNANDALE","State Code":"VA","Zip code":"220035605","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Heather","Last Name":"Raznick","NPI":"1689838914","Specialty":"Clinical Social Worker","Optout Effective Date":"6\/1\/2010","Optout End Date":"6\/1\/2026","First Line Street Address":"3009 NORTH BALLAS ROAD BLDG A SUITE 228","Second Line Street Address":"","City Name":"ST LOUIS","State Code":"MO","Zip code":"631312308","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Laura","Last Name":"Brenner","NPI":"1235359019","Specialty":"Psychiatry","Optout Effective Date":"5\/1\/2006","Optout End Date":"5\/1\/2026","First Line Street Address":"135 COUNTY ROAD","Second Line Street Address":"SUITE 2C","City Name":"CRESSKILL","State Code":"NJ","Zip code":"7626","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Phyllis","Last Name":"Tuthill","NPI":"1003924556","Specialty":"Oral Surgery","Optout Effective Date":"2\/16\/2012","Optout End Date":"2\/16\/2028","First Line Street Address":"11111 JONES RD","Second Line Street Address":"STE 5","City Name":"HOUSTON","State Code":"TX","Zip code":"770706317","Eligible to Order and Refer":"N","Last updated":"3\/16\/2026"},{"First Name":"Firas","Last Name":"Katabi","NPI":"1366540924","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2015","Optout End Date":"10\/1\/2027","First Line Street Address":"2220 W ARMITAGE AVE","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606474461","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Geralyn","Last Name":"Carducci","NPI":"1790869717","Specialty":"Psychiatry","Optout Effective Date":"4\/28\/1998","Optout End Date":"4\/28\/2026","First Line Street Address":"1020 MARITIME DR","Second Line Street Address":"","City Name":"MANITOWOC","State Code":"WI","Zip code":"542202922","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"John","Last Name":"Zajecka","NPI":"1275661399","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2006","Optout End Date":"4\/1\/2026","First Line Street Address":"4711 GOLF RD","Second Line Street Address":"STE 1200","City Name":"SKOKIE","State Code":"IL","Zip code":"600761200","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"John","Last Name":"Friedman","NPI":"1053321836","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/20\/2012","Optout End Date":"4\/20\/2026","First Line Street Address":"30 N MICHIGAN AVE STE 1828","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606023684","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Judy","Last Name":"Mendels Peterson","NPI":"1679666531","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/21\/2008","Optout End Date":"4\/21\/2026","First Line Street Address":"1415 W HENDERSON ST","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606578378","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Regan","Last Name":"Brown","NPI":"1114143534","Specialty":"Oral Surgery","Optout Effective Date":"11\/18\/2016","Optout End Date":"11\/18\/2026","First Line Street Address":"1610 MAXWELL DR","Second Line Street Address":"","City Name":"HUDSON","State Code":"WI","Zip code":"540168709","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Henry","Last Name":"Chapman","NPI":"1265553432","Specialty":"Physician Assistant","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"3300 ARCTIC BLVD","Second Line Street Address":"STE 101","City Name":"ANCHORAGE","State Code":"AK","Zip code":"995034579","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Hamid","Last Name":"Kazemi","NPI":"1346319605","Specialty":"Maxillofacial Surgery","Optout Effective Date":"4\/1\/2016","Optout End Date":"4\/1\/2026","First Line Street Address":"4825 BETHESDA AVE","Second Line Street Address":"SUITE 310","City Name":"BETHESDA","State Code":"MD","Zip code":"20814","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Joanne","Last Name":"Irving","NPI":"1336466960","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"4405E WEST HWY 301","Second Line Street Address":"","City Name":"BETHESDA","State Code":"MD","Zip code":"208144534","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Molly","Last Name":"Strauss","NPI":"1710048046","Specialty":"Psychiatry","Optout Effective Date":"6\/15\/2010","Optout End Date":"6\/15\/2026","First Line Street Address":"11012 ROSEMONT DR","Second Line Street Address":"","City Name":"ROCKVILLE","State Code":"MD","Zip code":"208523651","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Alan","Last Name":"Sager","NPI":"1811101934","Specialty":"Psychiatry","Optout Effective Date":"1\/18\/2008","Optout End Date":"1\/18\/2028","First Line Street Address":"6849 OLD DOMINION DR","Second Line Street Address":"","City Name":"MCLEAN","State Code":"VA","Zip code":"221013724","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Adrian","Last Name":"Hohenwarter","NPI":"1194758227","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"745 S GRANT ST","Second Line Street Address":"","City Name":"PALMYRA","State Code":"PA","Zip code":"170783215","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Thomas","Last Name":"Hesselink","NPI":"1548484892","Specialty":"General Practice","Optout Effective Date":"5\/23\/2019","Optout End Date":"5\/23\/2027","First Line Street Address":"11S250 S JACKSON ST","Second Line Street Address":"STE 101","City Name":"BURR RIDGE","State Code":"IL","Zip code":"605276884","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Bryan","Last Name":"Ferguson","NPI":"1316930969","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"3550 PARKWOOD BLVD 600","Second Line Street Address":"","City Name":"FRISCO","State Code":"TX","Zip code":"750341915","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Yehudah","Last Name":"Sandweiss","NPI":"1134276710","Specialty":"General Practice","Optout Effective Date":"6\/1\/2000","Optout End Date":"6\/1\/2026","First Line Street Address":"417 S 4TH AVE","Second Line Street Address":"","City Name":"ANN ARBOR","State Code":"MI","Zip code":"481042301","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Dawn","Last Name":"Morgan","NPI":"1699854034","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"317 SAYERS FOREST DR","Second Line Street Address":"","City Name":"QUEENSTOWN","State Code":"MD","Zip code":"216581169","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Wai","Last Name":"Ng","NPI":"1902895246","Specialty":"Oral Surgery","Optout Effective Date":"4\/22\/2019","Optout End Date":"4\/22\/2027","First Line Street Address":"5900 A CUBERO DRIVE NE","Second Line Street Address":"SUITE A","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"87109","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Jefferson","Last Name":"Davis","NPI":"1669523502","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"300 GALISTEO ST 201","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875012607","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"William","Last Name":"Petty","NPI":"1861558744","Specialty":"Orthodontics","Optout Effective Date":"10\/17\/2014","Optout End Date":"10\/17\/2026","First Line Street Address":"4233 W 95TH ST 2ND FL","Second Line Street Address":"","City Name":"OAK LAWN","State Code":"IL","Zip code":"604532623","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Kathryn","Last Name":"Bielik","NPI":"1427207539","Specialty":"Orthodontics","Optout Effective Date":"9\/7\/2016","Optout End Date":"9\/7\/2026","First Line Street Address":"4233 W 95TH ST 2ND FL","Second Line Street Address":"","City Name":"OAKLAWN","State Code":"IL","Zip code":"604532623","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Guy","Last Name":"Culpepper","NPI":"1407849052","Specialty":"Family Practice","Optout Effective Date":"3\/26\/2012","Optout End Date":"3\/26\/2026","First Line Street Address":"3550 PARKWOOD BLVD 600","Second Line Street Address":"","City Name":"FRISCO","State Code":"TX","Zip code":"750341915","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Amy","Last Name":"Latta","NPI":"1962495598","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"3550 PARKWOOD BLVD 600","Second Line Street Address":"","City Name":"FRISCO","State Code":"TX","Zip code":"750341915","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Martha","Last Name":"Leatherman","NPI":"1598802100","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"1314 E SONTERRA BLVD","Second Line Street Address":"#5101","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782584289","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Kathryn","Last Name":"Ford","NPI":"1679781413","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2006","Optout End Date":"7\/1\/2026","First Line Street Address":"6842 ELM ST 206","Second Line Street Address":"","City Name":"MCLEAN","State Code":"VA","Zip code":"221013855","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Nancy","Last Name":"Shosid","NPI":"1972623346","Specialty":"Psychiatry","Optout Effective Date":"3\/2\/2012","Optout End Date":"3\/2\/2026","First Line Street Address":"12880 HILLCREST RD 104","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752306557","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"David","Last Name":"Orbison","NPI":"1750344057","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/29\/2015","Optout End Date":"1\/29\/2027","First Line Street Address":"258 42ND ST","Second Line Street Address":"","City Name":"PITTSBURGH","State Code":"PA","Zip code":"152012862","Eligible to Order and Refer":"N","Last updated":"2\/15\/2025"},{"First Name":"Jerry","Last Name":"Jones","NPI":"1639169634","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"5900 CUBERO DR NE","Second Line Street Address":"STE A","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"871093879","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Donald","Last Name":"Ellsworth","NPI":"1659600161","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"20214 BRAIDWOOD DR 215","Second Line Street Address":"","City Name":"KATY","State Code":"TX","Zip code":"774502140","Eligible to Order and Refer":"N","Last updated":"1\/15\/2026"},{"First Name":"Brian","Last Name":"Pickle","NPI":"1295740603","Specialty":"Oral Surgery","Optout Effective Date":"3\/23\/2012","Optout End Date":"3\/23\/2026","First Line Street Address":"9480 BRIAR VILLAGE POINT","Second Line Street Address":"SUITE 300","City Name":"COLORADO SPRINGS","State Code":"CO","Zip code":"80920","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Anu","Last Name":"Davis","NPI":"1023117082","Specialty":"Internal Medicine","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"2001 KIRBY DR","Second Line Street Address":"Suite 810","City Name":"HOUSTON","State Code":"TX","Zip code":"770196033","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Christopher","Last Name":"Buttner","NPI":"1750340147","Specialty":"Maxillofacial Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"6800 MONTGOMERY BLVD NE","Second Line Street Address":"Suite O","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"871091425","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Charles","Last Name":"Taylor","NPI":"1447387154","Specialty":"General Practice","Optout Effective Date":"4\/1\/2017","Optout End Date":"4\/1\/2027","First Line Street Address":"4409 N CLASSEN BLVD","Second Line Street Address":"","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731185009","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Andrew","Last Name":"Wright","NPI":"1205100757","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/23\/2017","Optout End Date":"8\/23\/2027","First Line Street Address":"246 GREENE ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100036677","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Alma","Last Name":"Garza","NPI":"1134112782","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"17110 DALLAS PKWY 100","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752481127","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Marcie","Last Name":"Solomon","NPI":"1255432712","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2017","Optout End Date":"1\/1\/2027","First Line Street Address":"1600 WILSON BLVD","Second Line Street Address":"#702","City Name":"ARLINGTON","State Code":"VA","Zip code":"22209","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Anna","Last Name":"Davis","NPI":"1437258688","Specialty":"Nurse Practitioner","Optout Effective Date":"11\/1\/2016","Optout End Date":"11\/1\/2026","First Line Street Address":"226 ROCKINGHAM RD","Second Line Street Address":"","City Name":"LONDONDERRY","State Code":"NH","Zip code":"30532107","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Robert","Last Name":"Bein","NPI":"1811910383","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"500 KIMBARK ST 200","Second Line Street Address":"","City Name":"LONGMONT","State Code":"CO","Zip code":"805015585","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Tanya","Last Name":"Bennett","NPI":"1386843654","Specialty":"Psychiatry","Optout Effective Date":"9\/16\/2016","Optout End Date":"9\/16\/2026","First Line Street Address":"6750 WEST S LOOP 745","Second Line Street Address":"","City Name":"BELLAIRE","State Code":"TX","Zip code":"774014113","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Philip","Last Name":"Salem","NPI":"1376559997","Specialty":"Medical Oncology","Optout Effective Date":"4\/1\/2016","Optout End Date":"4\/1\/2026","First Line Street Address":"6624 FANNIN ST 1630","Second Line Street Address":"","City Name":"HOUSTON","State Code":"TX","Zip code":"770302328","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Emily","Last Name":"Hebert","NPI":"1801810890","Specialty":"Internal Medicine","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"12200 PRESTON RD","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752302223","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Chad","Last Name":"Drouin","NPI":"1780840611","Specialty":"Maxillofacial Surgery","Optout Effective Date":"5\/7\/2012","Optout End Date":"5\/7\/2026","First Line Street Address":"493 DUANE ST STE 301","Second Line Street Address":"","City Name":"GLEN ELLYN","State Code":"IL","Zip code":"601374501","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Karen","Last Name":"Brown","NPI":"1558342956","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"820 GESSNER RD","Second Line Street Address":"#2000","City Name":"HOUSTON","State Code":"TX","Zip code":"77024","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"William","Last Name":"Strinden","NPI":"1346386125","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"116 CHRISTIE DR","Second Line Street Address":"","City Name":"LUFKIN","State Code":"TX","Zip code":"759045534","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Araceli","Last Name":"Casso","NPI":"1730291790","Specialty":"Psychiatry","Optout Effective Date":"3\/5\/2012","Optout End Date":"3\/5\/2026","First Line Street Address":"16864 ROYAL CREST DR","Second Line Street Address":"","City Name":"HOUSTON","State Code":"TX","Zip code":"770582529","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Robin","Last Name":"Hall","NPI":"1285787085","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"900E SOUTHLAKE BLVD 200","Second Line Street Address":"","City Name":"SOUTHLAKE","State Code":"TX","Zip code":"760926376","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Buch","NPI":"1346291218","Specialty":"Urology","Optout Effective Date":"4\/20\/2017","Optout End Date":"4\/20\/2027","First Line Street Address":"5616 WARREN PARKWAY #101","Second Line Street Address":"","City Name":"FRISCO","State Code":"TX","Zip code":"750344165","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Ronald","Last Name":"Garb","NPI":"1891776167","Specialty":"Psychiatry","Optout Effective Date":"3\/22\/2017","Optout End Date":"3\/22\/2027","First Line Street Address":"929 GESSNER #2000","Second Line Street Address":"","City Name":"HOUSTON","State Code":"TX","Zip code":"77024","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Debra","Last Name":"Nickerson","NPI":"1417172883","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/16\/2012","Optout End Date":"5\/16\/2026","First Line Street Address":"1 N 141 COUNTY FARM RD STE 130","Second Line Street Address":"","City Name":"WINFIELD","State Code":"IL","Zip code":"601902086","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Louis","Last Name":"Apostolakis","NPI":"1790908341","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"4407 BEE CAVES RD 321","Second Line Street Address":"","City Name":"WEST LAKE HILLS","State Code":"TX","Zip code":"787466433","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Mariame","Last Name":"Cofresi-Aviles","NPI":"1861615171","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"3355 W ALABAMA","Second Line Street Address":"SUITE 1180","City Name":"HOUSTON","State Code":"TX","Zip code":"770981796","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Lawrence","Last Name":"Holmgren","NPI":"1407863616","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"1004 MEDICAL PARK BLVD","Second Line Street Address":"","City Name":"EDMOND","State Code":"OK","Zip code":"730133025","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Namir","Last Name":"Damluji","NPI":"1124116793","Specialty":"Psychiatry","Optout Effective Date":"7\/26\/2020","Optout End Date":"7\/26\/2026","First Line Street Address":"4407 MANCHESTER AVE","Second Line Street Address":"STE 207","City Name":"ENCINITAS","State Code":"CA","Zip code":"920247901","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Lamb","NPI":"1881706471","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"1004 MEDICAL PARK BLVD","Second Line Street Address":"","City Name":"EDMOND","State Code":"OK","Zip code":"730133025","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Melinda","Last Name":"Goodin","NPI":"1982725495","Specialty":"Physician Assistant","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"1935 DOMINION WAY 202","Second Line Street Address":"","City Name":"COLORADO SPRINGS","State Code":"CO","Zip code":"809188451","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Lawrence","Last Name":"Cormier","NPI":"1427146331","Specialty":"Psychiatry","Optout Effective Date":"5\/10\/2012","Optout End Date":"5\/10\/2026","First Line Street Address":"3773 CHERRY CREEK NORTH DR 690W","Second Line Street Address":"","City Name":"DENVER","State Code":"CO","Zip code":"802093804","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Janet","Last Name":"Wright","NPI":"1073544680","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"1015W HORSETOOTH RD 202","Second Line Street Address":"","City Name":"FORT COLLINS","State Code":"CO","Zip code":"805265980","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Lesley","Last Name":"Macarthur","NPI":"1073604054","Specialty":"Psychiatry","Optout Effective Date":"4\/5\/2012","Optout End Date":"4\/5\/2026","First Line Street Address":"1001 DOVE ST","Second Line Street Address":"STE 275","City Name":"NEWPORT BEACH","State Code":"CA","Zip code":"926602815","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Amber","Last Name":"Littler","NPI":"1538432505","Specialty":"Physician Assistant","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"20214 BRAIDWOOD DR 215","Second Line Street Address":"","City Name":"KATY","State Code":"TX","Zip code":"774502140","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Karen","Last Name":"Feeney","NPI":"1679632442","Specialty":"Clinical Social Worker","Optout Effective Date":"2\/27\/2024","Optout End Date":"2\/27\/2028","First Line Street Address":"13 ARLINGTON ST","Second Line Street Address":"","City Name":"AUBURN","State Code":"MA","Zip code":"15012637","Eligible to Order and Refer":"N","Last updated":"3\/16\/2026"},{"First Name":"Patricia","Last Name":"Gianotti","NPI":"1972628030","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/18\/2016","Optout End Date":"4\/18\/2026","First Line Street Address":"34 WOODLAND RD","Second Line Street Address":"","City Name":"NORTH HAMPTON","State Code":"NH","Zip code":"38622331","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Cindy","Last Name":"Hope","NPI":"1942491261","Specialty":"Psychiatry","Optout Effective Date":"5\/1\/2012","Optout End Date":"5\/1\/2026","First Line Street Address":"1012 ANNA KNAPP EXT","Second Line Street Address":"","City Name":"MOUNT PLEASANT","State Code":"SC","Zip code":"294645400","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Lester","Last Name":"Cowden","NPI":"1124133061","Specialty":"Oral Surgery","Optout Effective Date":"3\/15\/2012","Optout End Date":"3\/15\/2026","First Line Street Address":"3100 W BRITTON RD","Second Line Street Address":"SUITE A","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731202036","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"David","Last Name":"Reid","NPI":"1467597518","Specialty":"Psychiatry","Optout Effective Date":"12\/1\/2016","Optout End Date":"12\/1\/2026","First Line Street Address":"1060 LASKIN RD","Second Line Street Address":"","City Name":"VIRGINIA BEACH","State Code":"VA","Zip code":"234516365","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Jennifer","Last Name":"Strong","NPI":"1538340591","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"872 MASS AVE","Second Line Street Address":"STE 2-7","City Name":"CAMBRIDGE","State Code":"MA","Zip code":"21393072","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mark","Last Name":"Mcconnell","NPI":"1528191392","Specialty":"Dentist","Optout Effective Date":"7\/1\/2020","Optout End Date":"7\/1\/2026","First Line Street Address":"5925 WYOMING BLVD NE","Second Line Street Address":"STE B","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"871093841","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Darab","NPI":"1598755845","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"3452 GRAYSTONE PL SE","Second Line Street Address":"","City Name":"HICKORY","State Code":"NC","Zip code":"28601","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Paul","Last Name":"Richardson","NPI":"1942290291","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"3452 GRAYSTONE PLACE SE","Second Line Street Address":"","City Name":"HICKORY","State Code":"NC","Zip code":"28601","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Brian","Last Name":"Wilkerson","NPI":"1164493581","Specialty":"Oral Surgery","Optout Effective Date":"5\/10\/2012","Optout End Date":"5\/10\/2026","First Line Street Address":"831 VERMONT ST","Second Line Street Address":"","City Name":"LAWRENCE","State Code":"KS","Zip code":"660442665","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Patricia","Last Name":"Dennis","NPI":"1104949056","Specialty":"Clinical Social Worker","Optout Effective Date":"9\/26\/2014","Optout End Date":"9\/26\/2026","First Line Street Address":"8820 LADUE RD","Second Line Street Address":"STE 309","City Name":"SAINT LOUIS","State Code":"MO","Zip code":"631242079","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Steven","Last Name":"Briggs","NPI":"1831148568","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2006","Optout End Date":"7\/1\/2026","First Line Street Address":"5350 W 94TH TER","Second Line Street Address":"STE 204","City Name":"PRAIRIE VILLAGE","State Code":"KS","Zip code":"662072524","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Duane","Last Name":"Keller","NPI":"1932298502","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2010","Optout End Date":"4\/1\/2026","First Line Street Address":"3955 BAYLESS AVE STE 100","Second Line Street Address":"","City Name":"ST LOUIS","State Code":"MO","Zip code":"631251439","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Laura","Last Name":"Christensen","NPI":"1669587531","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"117 BOB ST","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875011712","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Kay","Last Name":"Morris","NPI":"1578591343","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"14800 SAN PEDRO AVE","Second Line Street Address":"SUITE 206","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782323735","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Lisa","Last Name":"Feierman","NPI":"1093865354","Specialty":"Psychiatry","Optout Effective Date":"6\/25\/2010","Optout End Date":"6\/25\/2026","First Line Street Address":"4686 CORRALES RD","Second Line Street Address":"STE 5E","City Name":"CORRALES","State Code":"NM","Zip code":"870488658","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Wheaton","NPI":"1104930288","Specialty":"Oral Surgery","Optout Effective Date":"8\/10\/2011","Optout End Date":"8\/10\/2027","First Line Street Address":"490B W ZIA RD","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875057008","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Lynore","Last Name":"Martinez","NPI":"1215901004","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"4\/6\/2016","Optout End Date":"4\/6\/2026","First Line Street Address":"405 KIVA CT","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875055879","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Kevin","Last Name":"Rexroad","NPI":"1407815798","Specialty":"Psychiatry","Optout Effective Date":"5\/19\/2017","Optout End Date":"5\/19\/2027","First Line Street Address":"4810 HARDWARE DR NE","Second Line Street Address":"# 8","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"87109","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Harold","Last Name":"Smith","NPI":"1083899611","Specialty":"Internal Medicine","Optout Effective Date":"4\/1\/2004","Optout End Date":"4\/1\/2026","First Line Street Address":"127 NORTH ST","Second Line Street Address":"","City Name":"BLOOMSBURG","State Code":"PA","Zip code":"178151433","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Daniel","Last Name":"Dugan","NPI":"1588600712","Specialty":"Oral Surgery","Optout Effective Date":"5\/2\/2016","Optout End Date":"5\/2\/2026","First Line Street Address":"613W HARWOOD RD","Second Line Street Address":"","City Name":"HURST","State Code":"TX","Zip code":"760543161","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Arthur","Last Name":"Rousseau","NPI":"1235140633","Specialty":"Psychiatry","Optout Effective Date":"4\/5\/2012","Optout End Date":"4\/5\/2026","First Line Street Address":"9401 N. KELLEY AVE","Second Line Street Address":"SUITE A","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731312442","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Catherine","Last Name":"Flowers","NPI":"1306069174","Specialty":"Psychiatry","Optout Effective Date":"3\/13\/2012","Optout End Date":"3\/13\/2026","First Line Street Address":"3355 W ALABAMA","Second Line Street Address":"SUITE 1180","City Name":"HOUSTON","State Code":"TX","Zip code":"770981796","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Sharon","Last Name":"Spiegel","NPI":"1437374691","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/28\/2012","Optout End Date":"7\/28\/2026","First Line Street Address":"8717 HEMPSTEAD AVE","Second Line Street Address":"","City Name":"BETHESDA","State Code":"MD","Zip code":"20817","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Joanne","Last Name":"Pizzino","NPI":"1245216365","Specialty":"Family Practice","Optout Effective Date":"2\/1\/2012","Optout End Date":"2\/1\/2028","First Line Street Address":"1350SEMAYNARD RD 201","Second Line Street Address":"","City Name":"CARY","State Code":"NC","Zip code":"275113634","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"John","Last Name":"Nale","NPI":"1649475005","Specialty":"Maxillofacial Surgery","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"8738 UNIVERSITY CITY BLVD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282133558","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Brian","Last Name":"Farrell","NPI":"1679547483","Specialty":"Maxillofacial Surgery","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"8738 UNIVERSITY CITY BLVD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282133558","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Yitzhak","Last Name":"Shnaps","NPI":"1275757171","Specialty":"Psychiatry","Optout Effective Date":"1\/6\/2017","Optout End Date":"1\/6\/2027","First Line Street Address":"YITZHAK SHNAPS MD","Second Line Street Address":"41 TAMARACK CIRCLE","City Name":"SKILLMAN","State Code":"NJ","Zip code":"8558","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Todd","Last Name":"Crowley","NPI":"1316911340","Specialty":"Oral Surgery","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"8738 UNIVERSITY CITY BLVD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282133558","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Robert","Last Name":"Galup","NPI":"1245204064","Specialty":"Oral Surgery","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"8738 UNIVERSITY CITY BLVD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282133558","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Bart","Last Name":"Farrell","NPI":"1518919059","Specialty":"Maxillofacial Surgery","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"8738 UNIVERSITY CITY BLVD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282133558","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"George","Last Name":"Barrett","NPI":"1972538403","Specialty":"Oral Surgery","Optout Effective Date":"3\/5\/2012","Optout End Date":"3\/5\/2026","First Line Street Address":"7515 QUAKER AVE","Second Line Street Address":"SUITE 200","City Name":"LUBBOCK","State Code":"TX","Zip code":"794245308","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"William","Last Name":"Merkel","NPI":"1073843389","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"2525 N 8TH ST","Second Line Street Address":"SUITE 203","City Name":"GRAND JUNCTION","State Code":"CO","Zip code":"815018847","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Marga","Last Name":"Speicher","NPI":"1598803199","Specialty":"Clinical Social Worker","Optout Effective Date":"3\/18\/2012","Optout End Date":"3\/18\/2026","First Line Street Address":"1438 GREY OAK DR","Second Line Street Address":"","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782131603","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Alex","Last Name":"Glijansky","NPI":"1245268895","Specialty":"Psychiatry","Optout Effective Date":"1\/7\/2012","Optout End Date":"1\/7\/2028","First Line Street Address":"PO BOX 326","Second Line Street Address":"","City Name":"ABINGTON","State Code":"PA","Zip code":"190010326","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Helene","Last Name":"Dolce","NPI":"1548375710","Specialty":"Oral Surgery","Optout Effective Date":"5\/10\/2010","Optout End Date":"5\/10\/2026","First Line Street Address":"301 PETERSON RD","Second Line Street Address":"STE B","City Name":"LIBERTYVILLE","State Code":"IL","Zip code":"600481041","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Anoop","Last Name":"Sondhi","NPI":"1427067545","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"9333 N MERIDIAN ST","Second Line Street Address":"STE 301","City Name":"INDIANAPOLIS","State Code":"IN","Zip code":"462601825","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Susan","Last Name":"Hoffman","NPI":"1073536918","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2016","Optout End Date":"7\/1\/2026","First Line Street Address":"433 METAIRIE RD","Second Line Street Address":"STE 204","City Name":"METAIRIE","State Code":"LA","Zip code":"700054325","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Elisabeth","Last Name":"Lucas","NPI":"1346253804","Specialty":"Internal Medicine","Optout Effective Date":"5\/1\/2012","Optout End Date":"5\/1\/2026","First Line Street Address":"20 E TIMONIUM ROAD","Second Line Street Address":"SUITE 112","City Name":"LUTHERVILLE","State Code":"MD","Zip code":"21093","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Clifford","Last Name":"Taylor","NPI":"1467544361","Specialty":"Psychiatry","Optout Effective Date":"5\/12\/2012","Optout End Date":"5\/12\/2026","First Line Street Address":"CLIFFORD TAYLOR MD","Second Line Street Address":"261 JAMES STREET SUITE 2-ER","City Name":"MORRISTOWN","State Code":"NJ","Zip code":"7960","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Nicole","Last Name":"Moss","NPI":"1821060856","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"2931 N TENAYA WAY","Second Line Street Address":"STE 204","City Name":"LAS VEGAS","State Code":"NV","Zip code":"891280458","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Christopher","Last Name":"Paoni","NPI":"1982607651","Specialty":"Oral Surgery","Optout Effective Date":"10\/11\/2016","Optout End Date":"10\/11\/2026","First Line Street Address":"106 S OZARK ST","Second Line Street Address":"","City Name":"GIRARD","State Code":"KS","Zip code":"667431530","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Anthony","Last Name":"Hornaday","NPI":"1407897523","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"620 S TILLOTSON AVE","Second Line Street Address":"","City Name":"MUNCIE","State Code":"IN","Zip code":"473044448","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Nancy","Last Name":"Thompson","NPI":"1891805818","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2018","Optout End Date":"7\/1\/2026","First Line Street Address":"475 MAIN ST","Second Line Street Address":"","City Name":"BOISE","State Code":"ID","Zip code":"837027244","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Arthur","Last Name":"Jenkins","NPI":"1174539274","Specialty":"Dentist","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"836 FIRST COLONIAL RD","Second Line Street Address":"","City Name":"VIRGINIA BEACH","State Code":"VA","Zip code":"234516126","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Carol","Last Name":"Tadeusik","NPI":"1679663421","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/15\/2012","Optout End Date":"5\/15\/2026","First Line Street Address":"3622 LYCKAN PKWY","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277072564","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Renee","Last Name":"Trujillo","NPI":"1053304501","Specialty":"Dentist","Optout Effective Date":"2\/5\/2020","Optout End Date":"2\/5\/2028","First Line Street Address":"3849 FOOTHILLS RD","Second Line Street Address":"","City Name":"LAS CRUCES","State Code":"NM","Zip code":"880114620","Eligible to Order and Refer":"N","Last updated":"3\/16\/2026"},{"First Name":"Shawn","Last Name":"Scott","NPI":"1467565861","Specialty":"Dentist","Optout Effective Date":"1\/27\/2016","Optout End Date":"1\/27\/2028","First Line Street Address":"PO BOX 272","Second Line Street Address":"","City Name":"MARLOW","State Code":"OK","Zip code":"730550272","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Amy","Last Name":"Anderson","NPI":"1366452203","Specialty":"Internal Medicine","Optout Effective Date":"4\/15\/2012","Optout End Date":"4\/15\/2026","First Line Street Address":"9301 NORTH CENTRAL EXPRESSWAY","Second Line Street Address":"SUITE 380","City Name":"DALLAS","State Code":"TX","Zip code":"75231","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Juliette","Last Name":"Madrigal- Dersch","NPI":"1710103668","Specialty":"Emergency Medicine","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"105 MEADOWLAKES DR","Second Line Street Address":"","City Name":"MEADOWLAKES","State Code":"TX","Zip code":"786546608","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jacob","Last Name":"Duke","NPI":"1083761878","Specialty":"Maxillofacial Surgery","Optout Effective Date":"4\/12\/2012","Optout End Date":"4\/12\/2026","First Line Street Address":"1701 MOORES LANE","Second Line Street Address":"","City Name":"TEXARKANA","State Code":"TX","Zip code":"755031894","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"William","Last Name":"Wintersteen","NPI":"1861498164","Specialty":"Maxillofacial Surgery","Optout Effective Date":"4\/2\/2012","Optout End Date":"4\/2\/2026","First Line Street Address":"23922 CINCO VILLIAGE CTR BLVD","Second Line Street Address":"SUITE #111","City Name":"KATY","State Code":"TX","Zip code":"77494","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Mary","Last Name":"Block","NPI":"1558684381","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"1750 NORWOOD DR","Second Line Street Address":"","City Name":"HURST","State Code":"TX","Zip code":"760543600","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Mila","Last Name":"Mcmanus","NPI":"1730274077","Specialty":"Family Practice","Optout Effective Date":"5\/24\/2017","Optout End Date":"5\/24\/2027","First Line Street Address":"26110 OAK RIDGE DR","Second Line Street Address":"","City Name":"SPRING","State Code":"TX","Zip code":"773801959","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Ryan","Last Name":"Scott","NPI":"1285748426","Specialty":"Dentist","Optout Effective Date":"1\/27\/2016","Optout End Date":"1\/27\/2028","First Line Street Address":"PO BOX 272","Second Line Street Address":"","City Name":"MARLOW","State Code":"OK","Zip code":"730550272","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"William","Last Name":"Rogers","NPI":"1811199896","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"455 RICE RD","Second Line Street Address":"#110","City Name":"TYLER","State Code":"TX","Zip code":"75703","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Paul","Last Name":"Neubach","NPI":"1316950454","Specialty":"Internal Medicine","Optout Effective Date":"4\/17\/2012","Optout End Date":"4\/17\/2026","First Line Street Address":"9301 N CENTRAL EXPY","Second Line Street Address":"STE 380","City Name":"DALLAS","State Code":"TX","Zip code":"752310806","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Susan","Last Name":"Dimick","NPI":"1083663611","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"1227 E 9TH ST","Second Line Street Address":"","City Name":"EDMOND","State Code":"OK","Zip code":"730345708","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"E","Last Name":"L\u0027Heureux","NPI":"1831270511","Specialty":"Orthopedic Surgery","Optout Effective Date":"9\/29\/2016","Optout End Date":"9\/29\/2026","First Line Street Address":"1405 NW 150TH ST","Second Line Street Address":"","City Name":"EDMOND","State Code":"OK","Zip code":"730131305","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Scott","Last Name":"Searcey","NPI":"1528149796","Specialty":"Oral Surgery","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"3601 NW 138TH ST","Second Line Street Address":"STE 100","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731342506","Eligible to Order and Refer":"N","Last updated":"1\/15\/2026"},{"First Name":"Michael","Last Name":"Duffy","NPI":"1841371010","Specialty":"Oral Surgery","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"3727 NW 63RD","Second Line Street Address":"SUITE 300","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731161931","Eligible to Order and Refer":"N","Last updated":"1\/15\/2026"},{"First Name":"Mark","Last Name":"Buitenwerf","NPI":"1780873349","Specialty":"Oral Surgery","Optout Effective Date":"6\/5\/2012","Optout End Date":"6\/5\/2026","First Line Street Address":"501 SANFORD ST","Second Line Street Address":"","City Name":"DECORAH","State Code":"IA","Zip code":"521012005","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Betty","Last Name":"Armstrong","NPI":"1245249572","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/1\/2019","Optout End Date":"4\/1\/2027","First Line Street Address":"4131 N CENTRAL EXPY","Second Line Street Address":"STE 840","City Name":"DALLAS","State Code":"TX","Zip code":"752042119","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Sharon","Last Name":"Bae","NPI":"1346211372","Specialty":"Internal Medicine","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"1401 AVOCADO AVE","Second Line Street Address":"STE 710","City Name":"NEWPORT BEACH","State Code":"CA","Zip code":"926607768","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Kevin","Last Name":"Porter","NPI":"1225181746","Specialty":"Oral Surgery","Optout Effective Date":"5\/15\/2012","Optout End Date":"5\/15\/2026","First Line Street Address":"8101 DORADO","Second Line Street Address":"","City Name":"ODESSA","State Code":"TX","Zip code":"797658533","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Carin","Last Name":"Nielsen","NPI":"1184682924","Specialty":"Family Practice","Optout Effective Date":"5\/23\/2012","Optout End Date":"5\/23\/2026","First Line Street Address":"810 E LAKE ST","Second Line Street Address":"","City Name":"PETOSKEY","State Code":"MI","Zip code":"497702527","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Suzanne","Last Name":"Harris","NPI":"1669581583","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/23\/2012","Optout End Date":"5\/23\/2026","First Line Street Address":"404 W GREEN ST","Second Line Street Address":"","City Name":"URBANA","State Code":"IL","Zip code":"618013267","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Ronald","Last Name":"Dirkse","NPI":"1033374368","Specialty":"Psychiatry","Optout Effective Date":"4\/5\/2016","Optout End Date":"4\/5\/2026","First Line Street Address":"675 E 16TH ST STE 290","Second Line Street Address":"","City Name":"HOLLAND","State Code":"MI","Zip code":"494233789","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Christine","Last Name":"Carpenter","NPI":"1083828172","Specialty":"Clinical Social Worker","Optout Effective Date":"6\/4\/2012","Optout End Date":"6\/4\/2026","First Line Street Address":"231 STATE ST","Second Line Street Address":"","City Name":"PETOSKEY","State Code":"MI","Zip code":"497702785","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Albert","Last Name":"Fuchs","NPI":"1013964386","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"8500 WILSHIRE BLVD","Second Line Street Address":"STE 605","City Name":"BEVERLY HILLS","State Code":"CA","Zip code":"902113120","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kathryn","Last Name":"Waldrep","NPI":"1396738092","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"7777 FOREST LANE","Second Line Street Address":"D570","City Name":"DALLAS","State Code":"TX","Zip code":"752302559","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Caryl","Last Name":"Hearst","NPI":"1235101007","Specialty":"Clinical Psychologist","Optout Effective Date":"2\/6\/2012","Optout End Date":"2\/6\/2028","First Line Street Address":"1707 N MAIN ST","Second Line Street Address":"STE 404","City Name":"LONGMONT","State Code":"CO","Zip code":"80501","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Abilash","Last Name":"Gopal","NPI":"1306179486","Specialty":"Psychiatry","Optout Effective Date":"11\/29\/2016","Optout End Date":"11\/29\/2026","First Line Street Address":"2161 UNION ST","Second Line Street Address":"STE 3","City Name":"SAN FRANCISCO","State Code":"CA","Zip code":"941234003","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Kim","Last Name":"Vernon","NPI":"1952394652","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"7777 FOREST LN D570","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752302559","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Daniel","Last Name":"Merlis","NPI":"1679888135","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/1\/2022","Optout End Date":"4\/1\/2026","First Line Street Address":"3931 JENIFER ST NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"200151960","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Brian","Last Name":"Aslami","NPI":"1528173994","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"163 Engle Street","Second Line Street Address":"Suite 205","City Name":"ENGLEWOOD","State Code":"NJ","Zip code":"76312530","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Susan","Last Name":"Perkins","NPI":"1184779506","Specialty":"Clinical Psychologist","Optout Effective Date":"2\/17\/2012","Optout End Date":"2\/17\/2028","First Line Street Address":"SUSAN PERKINS CP","Second Line Street Address":"405 N WASHINGTON STREET #104","City Name":"FALLS CHURCH","State Code":"VA","Zip code":"22046","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Kelly","Last Name":"Rising","NPI":"1659365674","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"1\/1\/2011","Optout End Date":"1\/1\/2027","First Line Street Address":"755 NORTH 11TH STREET","Second Line Street Address":"STE P4200","City Name":"BEAUMONT","State Code":"TX","Zip code":"77702","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Eric","Last Name":"Beckman","NPI":"1912132333","Specialty":"Oral Surgery","Optout Effective Date":"4\/17\/2012","Optout End Date":"4\/17\/2026","First Line Street Address":"2900 S PEORIA ST. BLDG D","Second Line Street Address":"","City Name":"AURORA","State Code":"CO","Zip code":"800143182","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Lorraine","Last Name":"Papa","NPI":"1184755480","Specialty":"Certified Clinical Nurse Specialist (Cns)","Optout Effective Date":"7\/1\/2016","Optout End Date":"7\/1\/2026","First Line Street Address":"710 WEST AVE","Second Line Street Address":"","City Name":"AUSTIN","State Code":"TX","Zip code":"787012727","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Christian","Last Name":"Renna","NPI":"1508806738","Specialty":"Family Practice","Optout Effective Date":"5\/10\/2024","Optout End Date":"5\/10\/2026","First Line Street Address":"3400 CARLISLE ST","Second Line Street Address":"STE 460","City Name":"DALLAS","State Code":"TX","Zip code":"752041259","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Larry","Last Name":"Pritchard","NPI":"1134221492","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2017","Optout End Date":"7\/1\/2027","First Line Street Address":"7030 SANGER AVE","Second Line Street Address":"STE 100","City Name":"WACO","State Code":"TX","Zip code":"767124073","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"William","Last Name":"Greer","NPI":"1760465835","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2011","Optout End Date":"1\/1\/2027","First Line Street Address":"12417 OCEAN GATEWAY","Second Line Street Address":"Bldg A-5","City Name":"OCEAN CITY","State Code":"MD","Zip code":"218429521","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Angela","Last Name":"Partida","NPI":"1093930158","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"3355 W Alabama","Second Line Street Address":"Suite 1180","City Name":"HOUSTON","State Code":"TX","Zip code":"77098","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Linda","Last Name":"Schaffer","NPI":"1740495043","Specialty":"Psychiatry","Optout Effective Date":"6\/14\/2012","Optout End Date":"6\/14\/2026","First Line Street Address":"555 UNIVERSITY AVE","Second Line Street Address":"STE 170","City Name":"SACRAMENTO","State Code":"CA","Zip code":"958256500","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Charles","Last Name":"Schaffer","NPI":"1114132313","Specialty":"Psychiatry","Optout Effective Date":"6\/14\/2012","Optout End Date":"6\/14\/2026","First Line Street Address":"1455 34TH ST","Second Line Street Address":"","City Name":"SACRAMENTO","State Code":"CA","Zip code":"958165327","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Bennett","Last Name":"Allen","NPI":"1689704884","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/4\/2012","Optout End Date":"6\/4\/2026","First Line Street Address":"899 SKOKIE BLVD STE 304","Second Line Street Address":"","City Name":"NORTHBROOK","State Code":"IL","Zip code":"600624023","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"John","Last Name":"Wilson","NPI":"1902818461","Specialty":"Preventive Medicine","Optout Effective Date":"7\/7\/2012","Optout End Date":"7\/7\/2026","First Line Street Address":"1312 PATTON AVE","Second Line Street Address":"","City Name":"ASHEVILLE","State Code":"NC","Zip code":"288062604","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ketan","Last Name":"Parekh","NPI":"1972706463","Specialty":"Oral Surgery","Optout Effective Date":"5\/8\/2012","Optout End Date":"5\/8\/2026","First Line Street Address":"960W RALPH HALL PKWY","Second Line Street Address":"","City Name":"ROCKWALL","State Code":"TX","Zip code":"750326660","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"John","Last Name":"Pichot","NPI":"1568566032","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5625 BROADWAY ST","Second Line Street Address":"","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782095719","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Grace","Last Name":"Alessi","NPI":"1457381964","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1512 BRENTFORD LANE","Second Line Street Address":"","City Name":"FORT COLLINS","State Code":"CO","Zip code":"80515","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"White","NPI":"1124112974","Specialty":"Psychiatry","Optout Effective Date":"2\/4\/2012","Optout End Date":"2\/4\/2028","First Line Street Address":"2121 SAGE RD","Second Line Street Address":"STE 180","City Name":"HOUSTON","State Code":"TX","Zip code":"770564326","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Paul","Last Name":"Glick","NPI":"1013985910","Specialty":"Oral Surgery","Optout Effective Date":"5\/4\/2012","Optout End Date":"5\/4\/2026","First Line Street Address":"2900 S PEORIA ST, BLDG D","Second Line Street Address":"","City Name":"AURORA","State Code":"CO","Zip code":"800143182","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Laura","Last Name":"Reidy","NPI":"1649260936","Specialty":"Dentist","Optout Effective Date":"2\/12\/2018","Optout End Date":"2\/12\/2028","First Line Street Address":"20 PENN PLZ","Second Line Street Address":"STE 32","City Name":"BANGOR","State Code":"ME","Zip code":"44013620","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Douglas","Last Name":"Heller","NPI":"1043288947","Specialty":"Oral Surgery","Optout Effective Date":"5\/4\/2012","Optout End Date":"5\/4\/2026","First Line Street Address":"2900 S PEORIA ST","Second Line Street Address":"BUILDING D","City Name":"AURORA","State Code":"CO","Zip code":"800143182","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Cheri","Last Name":"Adrian","NPI":"1366597833","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/25\/2012","Optout End Date":"5\/25\/2026","First Line Street Address":"1950 SAWTELLE BLVD","Second Line Street Address":"STE 365","City Name":"LOS ANGELES","State Code":"CA","Zip code":"900257075","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Christine","Last Name":"Warmann","NPI":"1679607444","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"11673 JOLLYVILLE RD","Second Line Street Address":"STE 204","City Name":"AUSTIN","State Code":"TX","Zip code":"787594211","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Bea","Last Name":"Epstein","NPI":"1922282037","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2017","Optout End Date":"1\/1\/2027","First Line Street Address":"11700 DANVILLE DR","Second Line Street Address":"","City Name":"ROCKVILLE","State Code":"MD","Zip code":"208523718","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Kenneth","Last Name":"Versman","NPI":"1427026301","Specialty":"Oral Surgery","Optout Effective Date":"5\/4\/2012","Optout End Date":"5\/4\/2026","First Line Street Address":"2900 S PEORIA ST. BLDG D","Second Line Street Address":"","City Name":"AURORA","State Code":"CO","Zip code":"800143182","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Bruce","Last Name":"Rind","NPI":"1194940866","Specialty":"General Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5225 WISCONSIN AVE NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"20015","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Steven","Last Name":"Horvitz","NPI":"1689784894","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"110 MARTER AVENUE","Second Line Street Address":"SUITE 408","City Name":"MOORESTOWN","State Code":"NJ","Zip code":"8057","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Larry","Last Name":"Stewart","NPI":"1891755864","Specialty":"Maxillofacial Surgery","Optout Effective Date":"1\/26\/2012","Optout End Date":"1\/26\/2028","First Line Street Address":"3713 W 15TH ST","Second Line Street Address":"STE 402","City Name":"PLANO","State Code":"TX","Zip code":"750757754","Eligible to Order and Refer":"N","Last updated":"2\/16\/2026"},{"First Name":"Sharon","Last Name":"Ornstein","NPI":"1992890537","Specialty":"Oral Surgery","Optout Effective Date":"5\/5\/2011","Optout End Date":"5\/5\/2027","First Line Street Address":"10 MEDICAL PARKWAY","Second Line Street Address":"SUITE 101","City Name":"DALLAS","State Code":"TX","Zip code":"752347838","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Andrew","Last Name":"Popper","NPI":"1093894420","Specialty":"Psychiatry","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"93 UNION ST","Second Line Street Address":"STE 401C","City Name":"NEWTON","State Code":"MA","Zip code":"24592254","Eligible to Order and Refer":"N","Last updated":"1\/15\/2026"},{"First Name":"James","Last Name":"Newland","NPI":"1689638355","Specialty":"Oral Surgery","Optout Effective Date":"6\/28\/2011","Optout End Date":"6\/28\/2027","First Line Street Address":"5001 BISSONNET ST","Second Line Street Address":"STE 103","City Name":"BELLAIRE","State Code":"TX","Zip code":"774014015","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"Mary","Last Name":"Kight","NPI":"1245211036","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"12225 GREENVILLE AVE","Second Line Street Address":"SUITE 700","City Name":"DALLAS","State Code":"TX","Zip code":"752439338","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Saif","Last Name":"Ahmedi","NPI":"1255626644","Specialty":"Physician Assistant","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"25000 PITKIN ROAD","Second Line Street Address":"SUITE 120","City Name":"SPRING","State Code":"TX","Zip code":"77386","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Valerie","Last Name":"Gurney","NPI":"1811093685","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/4\/2012","Optout End Date":"5\/4\/2026","First Line Street Address":"800 MASS AVE","Second Line Street Address":"STE 2","City Name":"ARLINGTON","State Code":"MA","Zip code":"24764736","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Howard","Last Name":"Lang","NPI":"1578852851","Specialty":"Family Practice","Optout Effective Date":"8\/4\/2016","Optout End Date":"8\/4\/2026","First Line Street Address":"789 LONESOME DOVE TRAIL","Second Line Street Address":"","City Name":"HURST","State Code":"TX","Zip code":"76054","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Randall","Last Name":"Lane","NPI":"1578516779","Specialty":"Psychiatry","Optout Effective Date":"11\/14\/2016","Optout End Date":"11\/14\/2026","First Line Street Address":"8350 MEADOW RD","Second Line Street Address":"STE 266","City Name":"DALLAS","State Code":"TX","Zip code":"752313700","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Robert","Last Name":"Dennis","NPI":"1437220159","Specialty":"Orthopedic Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"2040 SIXTH AVENUE","Second Line Street Address":"SUITE 1, DOOR B","City Name":"NEPTUNE","State Code":"NJ","Zip code":"7753","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ingrid","Last Name":"Schmidt","NPI":"1871501395","Specialty":"Psychiatry","Optout Effective Date":"9\/2\/2010","Optout End Date":"9\/2\/2026","First Line Street Address":"5750 BALCONES DR","Second Line Street Address":"STE 109","City Name":"AUSTIN","State Code":"TX","Zip code":"787314268","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Bernard","Last Name":"Cordoba","NPI":"1801914312","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"1101 S CAPITAL OF TX HWY","Second Line Street Address":"BLDG A STE 250","City Name":"AUSTIN","State Code":"TX","Zip code":"78746","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Gerald","Last Name":"Harris","NPI":"1528140068","Specialty":"Interventional Pain Management","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"7421 MEADOWBROOK DR","Second Line Street Address":"","City Name":"FORT WORTH","State Code":"TX","Zip code":"761125413","Eligible to Order and Refer":"N","Last updated":"1\/15\/2026"},{"First Name":"Dhiren","Last Name":"Patel","NPI":"1528078466","Specialty":"Psychiatry","Optout Effective Date":"1\/2\/2017","Optout End Date":"1\/2\/2027","First Line Street Address":"1475 PRUDENTIAL DR","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752354109","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Douglas","Last Name":"Stone","NPI":"1710026661","Specialty":"Clinical Psychologist","Optout Effective Date":"2\/20\/2017","Optout End Date":"2\/20\/2027","First Line Street Address":"4241 E PIEDRAS DR","Second Line Street Address":"STE 250","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782281400","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Ramona","Last Name":"Aarsvold","NPI":"1528113958","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2017","Optout End Date":"10\/1\/2027","First Line Street Address":"4807 SPICEWOOD SPRINGS RD","Second Line Street Address":"STE 1-1240","City Name":"AUSTIN","State Code":"TX","Zip code":"787598444","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Richard","Last Name":"Wolf","NPI":"1891713079","Specialty":"Internal Medicine","Optout Effective Date":"8\/16\/2012","Optout End Date":"8\/16\/2026","First Line Street Address":"2808 ROOSEVELT ST","Second Line Street Address":"STE 100","City Name":"CARLSBAD","State Code":"CA","Zip code":"920081688","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Christopher","Last Name":"Ewin","NPI":"1639275290","Specialty":"Family Practice","Optout Effective Date":"6\/20\/2008","Optout End Date":"6\/20\/2026","First Line Street Address":"5450 CLEARFORK MAIN ST","Second Line Street Address":"","City Name":"FT WORTH","State Code":"TX","Zip code":"76109","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Tobie","Last Name":"Beckerman","NPI":"1750372256","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"4\/1\/2010","Optout End Date":"4\/1\/2026","First Line Street Address":"800 S FREDERICK AVE","Second Line Street Address":"#213","City Name":"GAITHERSBURG","State Code":"MD","Zip code":"20877","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Christine","Last Name":"Valentin","NPI":"1467636498","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2019","Optout End Date":"1\/1\/2027","First Line Street Address":"127 UNION AVE","Second Line Street Address":"STE 4","City Name":"MIDDLESEX","State Code":"NJ","Zip code":"88461039","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Megan","Last Name":"Rave Lankenau","NPI":"1528376829","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/12\/2021","Optout End Date":"9\/12\/2027","First Line Street Address":"5247 WISCONSIN AVE NW","Second Line Street Address":"STE 4","City Name":"WASHINGTON","State Code":"DC","Zip code":"200152012","Eligible to Order and Refer":"N","Last updated":"10\/15\/2025"},{"First Name":"Kathleen","Last Name":"Hansen","NPI":"1699887562","Specialty":"General Practice","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"17030 HIGHWAY 3","Second Line Street Address":"","City Name":"WEBSTER","State Code":"TX","Zip code":"775984129","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Joan","Last Name":"Morgan","NPI":"1013049493","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"518 ELM ST","Second Line Street Address":"","City Name":"WESTFIELD","State Code":"NJ","Zip code":"70903108","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Melanie","Last Name":"Illich","NPI":"1982893665","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2011","Optout End Date":"10\/1\/2027","First Line Street Address":"1316 WASHINGTON AVE","Second Line Street Address":"","City Name":"WACO","State Code":"TX","Zip code":"767011129","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Joseph","Last Name":"Gaspari","NPI":"1417062589","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"5956 SHERRY LN","Second Line Street Address":"STE 540","City Name":"DALLAS","State Code":"TX","Zip code":"752258016","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"William","Last Name":"Gates","NPI":"1447233465","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2011","Optout End Date":"1\/1\/2027","First Line Street Address":"3108 MIDWAY RD","Second Line Street Address":"STE 105","City Name":"PLANO","State Code":"TX","Zip code":"750938470","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Bonnie","Last Name":"Furner","NPI":"1871561910","Specialty":"Dermatology","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"8122 DATAPOINT DR","Second Line Street Address":"STE 1110","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782293274","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Mark","Last Name":"Hooker","NPI":"1467558015","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"17030 HIGHWAY 3","Second Line Street Address":"","City Name":"WEBSTER","State Code":"TX","Zip code":"775984129","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Daniel","Last Name":"Block","NPI":"1578561965","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"227 EAST EVERGREEN STREET","Second Line Street Address":"","City Name":"WEST GROVE","State Code":"PA","Zip code":"193901037","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2025"},{"First Name":"Lena","Last Name":"Verkhovsky","NPI":"1780752477","Specialty":"Psychiatry","Optout Effective Date":"8\/29\/2012","Optout End Date":"8\/29\/2026","First Line Street Address":"115 E 61ST ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100658183","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Thomas","Last Name":"Zaubler","NPI":"1578532172","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2006","Optout End Date":"7\/1\/2026","First Line Street Address":"100 MADISON AVE","Second Line Street Address":"","City Name":"MORRISTOWN","State Code":"NJ","Zip code":"79606136","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Charles","Last Name":"Giannasio","NPI":"1376686048","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"900 LENMAR DR B","Second Line Street Address":"","City Name":"BLUE BELL","State Code":"PA","Zip code":"194222049","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Morrison","NPI":"1962557231","Specialty":"Psychiatry","Optout Effective Date":"7\/22\/2024","Optout End Date":"7\/22\/2026","First Line Street Address":"7700 CHATHAM RD","Second Line Street Address":"","City Name":"CHEVY CHASE","State Code":"MD","Zip code":"208155051","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sylvia","Last Name":"Teitelbaum","NPI":"1235257791","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"ONE GRANGE COURT","Second Line Street Address":"","City Name":"TEANECK","State Code":"NJ","Zip code":"7666","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ira","Last Name":"Abrams","NPI":"1497895767","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2017","Optout End Date":"7\/1\/2027","First Line Street Address":"10711 WEYMOUTH ST","Second Line Street Address":"","City Name":"GARRETT PARK","State Code":"MD","Zip code":"20896","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"Hugh","Last Name":"Zadeh","NPI":"1952444937","Specialty":"Oral Surgery","Optout Effective Date":"9\/19\/2016","Optout End Date":"9\/19\/2026","First Line Street Address":"HUGH ZADEH DMD","Second Line Street Address":"7611 LITTLE RIVER TPK SUITE 101 E","City Name":"ANNADALE","State Code":"VA","Zip code":"22003","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"John","Last Name":"Labriola","NPI":"1215023825","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2016","Optout End Date":"10\/1\/2026","First Line Street Address":"JOHN LABRIOLA DDS","Second Line Street Address":"7611 LITTLE RIVER TNPK STE 101 E","City Name":"ANNADALE","State Code":"VA","Zip code":"22003","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Dayna","Last Name":"Fuchs","NPI":"1982712691","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/14\/2010","Optout End Date":"9\/14\/2026","First Line Street Address":"17103 PRESTON RD","Second Line Street Address":"STE 140","City Name":"DALLAS","State Code":"TX","Zip code":"752481387","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Deepa","Last Name":"Nadiga","NPI":"1366536229","Specialty":"Psychiatry","Optout Effective Date":"12\/22\/2016","Optout End Date":"12\/22\/2026","First Line Street Address":"1475 CENTRAL AVE","Second Line Street Address":"STE 210","City Name":"LOS ALAMOS","State Code":"NM","Zip code":"875444207","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Madeleine","Last Name":"Reichert","NPI":"1033209325","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"21 LYNN BATTS LANE","Second Line Street Address":"SUITE 11","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782183079","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Woods","NPI":"1881601029","Specialty":"Psychiatry","Optout Effective Date":"6\/11\/2012","Optout End Date":"6\/11\/2026","First Line Street Address":"2875 MIDDLEFIELD RD","Second Line Street Address":"STE 5","City Name":"PALO ALTO","State Code":"CA","Zip code":"943062548","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Donald","Last Name":"Counts","NPI":"1356444889","Specialty":"Family Practice","Optout Effective Date":"6\/4\/2012","Optout End Date":"6\/4\/2026","First Line Street Address":"2905 SAN GABRIEL ST, SUITE 306","Second Line Street Address":"","City Name":"AUSTIN","State Code":"TX","Zip code":"78705","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"David","Last Name":"Brown","NPI":"1568515070","Specialty":"Maxillofacial Surgery","Optout Effective Date":"5\/15\/2012","Optout End Date":"5\/15\/2026","First Line Street Address":"8101 DORADO DRIVE","Second Line Street Address":"","City Name":"ODESSA","State Code":"TX","Zip code":"79765","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Kirby","Last Name":"Bunel","NPI":"1801992623","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"1701 MOORES LANE","Second Line Street Address":"","City Name":"TEXARKANA","State Code":"TX","Zip code":"755031894","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Schwartz","NPI":"1699777375","Specialty":"Oral Surgery","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"11317 S WESTERN SUITE 100B","Second Line Street Address":"","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731705848","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Martin","Last Name":"Ceaser","NPI":"1366543274","Specialty":"Psychiatry","Optout Effective Date":"5\/3\/2012","Optout End Date":"5\/3\/2026","First Line Street Address":"3801 CONNECTICUT AVE NW","Second Line Street Address":"APT . 233","City Name":"WASHINGTON","State Code":"DC","Zip code":"20008","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Diane","Last Name":"Scheininger","NPI":"1326124116","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6820 WISCONSIN AVE #6002","Second Line Street Address":"","City Name":"BETHESDA","State Code":"MD","Zip code":"20815","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"George","Last Name":"Ferguson","NPI":"1336195098","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1333 3RD AVE S","Second Line Street Address":"STE 402","City Name":"NAPLES","State Code":"FL","Zip code":"341026535","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lorene","Last Name":"Henry","NPI":"1477614204","Specialty":"Psychiatry","Optout Effective Date":"5\/26\/2012","Optout End Date":"5\/26\/2026","First Line Street Address":"1721 BIRMINGHAM DRIVE","Second Line Street Address":"SUITE 208","City Name":"COLLEGE STATION","State Code":"TX","Zip code":"778454081","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Stephen","Last Name":"Gelfond","NPI":"1467456426","Specialty":"Psychiatry","Optout Effective Date":"5\/29\/2012","Optout End Date":"5\/29\/2026","First Line Street Address":"700 SKYFOREST DR","Second Line Street Address":"","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782322030","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Janet","Last Name":"Chene","NPI":"1760586416","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"144 FAIRWAY DRIVE","Second Line Street Address":"SUITE A","City Name":"KERRVILLE","State Code":"TX","Zip code":"78028","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robin","Last Name":"Oshman","NPI":"1497832554","Specialty":"Dermatology","Optout Effective Date":"5\/1\/2012","Optout End Date":"5\/1\/2026","First Line Street Address":"101 LONG LOTS RD","Second Line Street Address":"","City Name":"WESTPORT","State Code":"CT","Zip code":"68803919","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Ellen","Last Name":"Gendler","NPI":"1891997409","Specialty":"Dermatology","Optout Effective Date":"7\/15\/2012","Optout End Date":"7\/15\/2026","First Line Street Address":"1035 5TH AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100280135","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Patrick","Last Name":"Mcgrath","NPI":"1932284098","Specialty":"Psychiatry","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"100 PARK AVE","Second Line Street Address":"SUITE 1600","City Name":"NEW YORK","State Code":"NY","Zip code":"10017","Eligible to Order and Refer":"N","Last updated":"7\/15\/2024"},{"First Name":"Stephen","Last Name":"Donovan","NPI":"1942240130","Specialty":"Psychiatry","Optout Effective Date":"5\/1\/2012","Optout End Date":"5\/1\/2026","First Line Street Address":"1070 PARK AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"101281000","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Richard","Last Name":"Hersh","NPI":"1508895517","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"25 W 81ST ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100246023","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Gary","Last Name":"Kaplan","NPI":"1669400362","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6829 ELM STREET","Second Line Street Address":"SUITE 300","City Name":"MCLEAN","State Code":"VA","Zip code":"221013845","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lisa","Last Name":"Lilienfield","NPI":"1487602124","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6829 ELM STREET","Second Line Street Address":"SUITE 300","City Name":"MCLEAN","State Code":"VA","Zip code":"221013845","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Claud","Last Name":"Horn","NPI":"1396872693","Specialty":"Psychiatry","Optout Effective Date":"6\/10\/2012","Optout End Date":"6\/10\/2026","First Line Street Address":"1101 WOOTTON PKWY","Second Line Street Address":"STE 960","City Name":"ROCKVILLE","State Code":"MD","Zip code":"208521087","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Robin","Last Name":"Weiss","NPI":"1992821672","Specialty":"Psychiatry","Optout Effective Date":"1\/19\/2015","Optout End Date":"1\/19\/2027","First Line Street Address":"1122 KENILWORTH DRIVE","Second Line Street Address":"SUITE 314","City Name":"BALTIMORE","State Code":"MD","Zip code":"21204","Eligible to Order and Refer":"N","Last updated":"2\/15\/2025"},{"First Name":"Barbara","Last Name":"Kage","NPI":"1427043538","Specialty":"Rheumatology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"361 MAIN ST","Second Line Street Address":"","City Name":"MANCHESTER","State Code":"CT","Zip code":"60404127","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Reinhard","Last Name":"Kage","NPI":"1902891013","Specialty":"Allergy\/Immunology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"361 MAIN ST","Second Line Street Address":"","City Name":"MANCHESTER","State Code":"CT","Zip code":"60404127","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Carole","Last Name":"Berk","NPI":"1629157573","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/26\/2019","Optout End Date":"8\/26\/2027","First Line Street Address":"30 N MICHIGAN AVE","Second Line Street Address":"STE 506","City Name":"CHICAGO","State Code":"IL","Zip code":"606023837","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Sara","Last Name":"Vantongeren","NPI":"1033479167","Specialty":"Clinical Social Worker","Optout Effective Date":"3\/23\/2016","Optout End Date":"3\/23\/2026","First Line Street Address":"675 E 16TH ST","Second Line Street Address":"STE 290","City Name":"HOLLAND","State Code":"MI","Zip code":"494233789","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Clement","Last Name":"Adams","NPI":"1710191119","Specialty":"Oral Surgery","Optout Effective Date":"6\/4\/2012","Optout End Date":"6\/4\/2026","First Line Street Address":"36400 5 MILE RD","Second Line Street Address":"","City Name":"LIVONIA","State Code":"MI","Zip code":"481541972","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"George","Last Name":"Kramer","NPI":"1861546459","Specialty":"Physical Medicine And Rehabilitation","Optout Effective Date":"6\/2\/2006","Optout End Date":"6\/2\/2026","First Line Street Address":"11500 HIGHWAY 7","Second Line Street Address":"STE 204","City Name":"MINNETONKA","State Code":"MN","Zip code":"553055107","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"William","Last Name":"Golden","NPI":"1477606887","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"4 RYDER RD","Second Line Street Address":"","City Name":"BRIARCLIFF MANOR","State Code":"NY","Zip code":"105101517","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Brian","Last Name":"Fitz","NPI":"1629092952","Specialty":"Dentist","Optout Effective Date":"6\/13\/2012","Optout End Date":"6\/13\/2026","First Line Street Address":"945 S BARTLETT RD","Second Line Street Address":"","City Name":"STREAMWOOD","State Code":"IL","Zip code":"601071333","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Wayne","Last Name":"Jones","NPI":"1457470528","Specialty":"Psychiatry","Optout Effective Date":"2\/20\/2017","Optout End Date":"2\/20\/2027","First Line Street Address":"375 MUNICIPAL","Second Line Street Address":"SUITE 224","City Name":"RICHARDSON","State Code":"TX","Zip code":"750803624","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Lyle","Last Name":"Skinner","NPI":"1730391467","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/19\/2016","Optout End Date":"8\/19\/2026","First Line Street Address":"227 S 2ND ST","Second Line Street Address":"","City Name":"GENEVA","State Code":"IL","Zip code":"601342713","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Daniel","Last Name":"Grady","NPI":"1538429105","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"185 MADISON AVE","Second Line Street Address":"FL 15","City Name":"NEW YORK","State Code":"NY","Zip code":"100164325","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Jerry","Last Name":"Bauer","NPI":"1861490427","Specialty":"Neurosurgery","Optout Effective Date":"12\/31\/2020","Optout End Date":"12\/31\/2026","First Line Street Address":"1875 DEMPSTER ST","Second Line Street Address":"STE 410","City Name":"PARK RIDGE","State Code":"IL","Zip code":"600681129","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Barbara","Last Name":"Hulsart","NPI":"1598982597","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"9 N MAIN ST","Second Line Street Address":"","City Name":"EAST HAMPTON","State Code":"NY","Zip code":"119372632","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Amy","Last Name":"Brown","NPI":"1528199114","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/24\/2023","Optout End Date":"7\/24\/2027","First Line Street Address":"15 OAK ST","Second Line Street Address":"STE 2B","City Name":"FRANKFORT","State Code":"IL","Zip code":"604231486","Eligible to Order and Refer":"N","Last updated":"9\/15\/2025"},{"First Name":"Ezriel","Last Name":"Kornel","NPI":"1194785592","Specialty":"Neurosurgery","Optout Effective Date":"7\/1\/2021","Optout End Date":"7\/1\/2027","First Line Street Address":"4 WESTCHESTER PARK DR","Second Line Street Address":"STE 320","City Name":"WHITE PLAINS","State Code":"NY","Zip code":"106043497","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"Dawn","Last Name":"Cieplensky","NPI":"1306042866","Specialty":"Osteopathic Manipulative Medicine","Optout Effective Date":"3\/27\/2017","Optout End Date":"3\/27\/2027","First Line Street Address":"141 E 55TH ST","Second Line Street Address":"APT 7B","City Name":"NEW YORK","State Code":"NY","Zip code":"100224032","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Susan","Last Name":"Karl","NPI":"1932275534","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/1\/2018","Optout End Date":"4\/1\/2026","First Line Street Address":"85 SCHOONMAKER LN","Second Line Street Address":"","City Name":"STONE RIDGE","State Code":"NY","Zip code":"124845845","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Bernard","Last Name":"Jacobs","NPI":"1245264357","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"10 MCMAHON PL","Second Line Street Address":"","City Name":"MAHOPAC","State Code":"NY","Zip code":"105411700","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Beulah","Last Name":"Levy","NPI":"1073789681","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2017","Optout End Date":"7\/1\/2027","First Line Street Address":"6723 WHITTIER AVENUE","Second Line Street Address":"SUITE 206","City Name":"MCLEAN","State Code":"VA","Zip code":"22101","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"James","Last Name":"Lettenberger","NPI":"1639297856","Specialty":"Psychiatry","Optout Effective Date":"6\/7\/2012","Optout End Date":"6\/7\/2026","First Line Street Address":"2440 M STREET NW","Second Line Street Address":"SUITE 710","City Name":"WASHINGTON","State Code":"DC","Zip code":"20037","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"David","Last Name":"Zimmer","NPI":"1063686566","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"8308-B OLD COURTHOUSE RD.","Second Line Street Address":"","City Name":"VIENNA","State Code":"VA","Zip code":"22182","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Brian","Last Name":"Schulman","NPI":"1184769382","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"4400 EAST WEST HIGHWAY","Second Line Street Address":"SUITE G","City Name":"BETHESDA","State Code":"MD","Zip code":"20814","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Linda","Last Name":"Altman","NPI":"1851442362","Specialty":"Psychiatry","Optout Effective Date":"2\/22\/2012","Optout End Date":"2\/22\/2028","First Line Street Address":"1425 LOCUST ST","Second Line Street Address":"UNIT 15A","City Name":"PHILADELPHIA","State Code":"PA","Zip code":"191023836","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Lucie","Last Name":"Greenblum","NPI":"1841496080","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5415 KIRKWOOD DRIVE","Second Line Street Address":"","City Name":"BETHESDA","State Code":"MD","Zip code":"20816","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lawrence","Last Name":"Ballon","NPI":"1154511848","Specialty":"Psychiatry","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"1715 N. GEORGE MASON DRIVE","Second Line Street Address":"SUITE 104","City Name":"ARLINGTON","State Code":"VA","Zip code":"22205","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Cecil","Last Name":"Shrewsberry","NPI":"1871823963","Specialty":"Oral Surgery","Optout Effective Date":"3\/28\/2017","Optout End Date":"3\/28\/2027","First Line Street Address":"3205 ROBINSON CREEK PKWY","Second Line Street Address":"","City Name":"HUNTSVILLE","State Code":"TX","Zip code":"773402299","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Neil","Last Name":"Altman","NPI":"1578882122","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/30\/2021","Optout End Date":"7\/30\/2027","First Line Street Address":"60 BRATTLE ST","Second Line Street Address":"APT 605","City Name":"CAMBRIDGE","State Code":"MA","Zip code":"21383740","Eligible to Order and Refer":"N","Last updated":"9\/15\/2025"},{"First Name":"Robert","Last Name":"Buly","NPI":"1588610893","Specialty":"Orthopedic Surgery","Optout Effective Date":"7\/23\/2012","Optout End Date":"7\/23\/2026","First Line Street Address":"535 E 70TH STREET","Second Line Street Address":"3RD FLOOR","City Name":"NEW YORK","State Code":"NY","Zip code":"100214898","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kenneth","Last Name":"Bock","NPI":"1275572513","Specialty":"Family Practice","Optout Effective Date":"5\/24\/2012","Optout End Date":"5\/24\/2026","First Line Street Address":"50 OLD FARM RD","Second Line Street Address":"","City Name":"RED HOOK","State Code":"NY","Zip code":"125711633","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Frances","Last Name":"Anderson","NPI":"1649430133","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/2\/2012","Optout End Date":"8\/2\/2026","First Line Street Address":"140 E 40TH ST","Second Line Street Address":"APT 12A","City Name":"NEW YORK","State Code":"NY","Zip code":"100161760","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Leslie","Last Name":"Freedman","NPI":"1245327220","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1225 PARK AVE","Second Line Street Address":"STE 1E","City Name":"NEW YORK","State Code":"NY","Zip code":"101281758","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Russell","Last Name":"Warren","NPI":"1386822237","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"103 BURNETT COURT","Second Line Street Address":"","City Name":"WACO","State Code":"TX","Zip code":"767123100","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ursula","Last Name":"Ofman","NPI":"1427221282","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2015","Optout End Date":"10\/1\/2027","First Line Street Address":"347 FIFTH AVENUE","Second Line Street Address":"SUITE 900A","City Name":"NEW YORK","State Code":"NY","Zip code":"100164527","Eligible to Order and Refer":"N","Last updated":"11\/14\/2025"},{"First Name":"Steven","Last Name":"Erle","NPI":"1053498832","Specialty":"Psychiatry","Optout Effective Date":"3\/1\/2012","Optout End Date":"3\/1\/2026","First Line Street Address":"872 FIFTH AVENUE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100654953","Eligible to Order and Refer":"Y","Last updated":"3\/15\/2024"},{"First Name":"Lauren","Last Name":"Becker","NPI":"1992846638","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"930 MT. KEMBLE AVE","Second Line Street Address":"","City Name":"MORRISTOWN","State Code":"NJ","Zip code":"7960","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mary","Last Name":"Sciutto","NPI":"1992741722","Specialty":"Psychiatry","Optout Effective Date":"3\/21\/2017","Optout End Date":"3\/21\/2027","First Line Street Address":"710 W 168TH ST","Second Line Street Address":"FL 12","City Name":"NEW YORK","State Code":"NY","Zip code":"100323726","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Lori","Last Name":"Davis","NPI":"1902827355","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"80 FIFFTH AVENUE","Second Line Street Address":"SUITE 1005","City Name":"NEW YORK","State Code":"NY","Zip code":"100118017","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Smith","NPI":"1649265760","Specialty":"Maxillofacial Surgery","Optout Effective Date":"6\/25\/2012","Optout End Date":"6\/25\/2026","First Line Street Address":"909 W FOXWOOD DR","Second Line Street Address":"","City Name":"RAYMORE","State Code":"MO","Zip code":"640837200","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Ronald","Last Name":"Hoffman","NPI":"1679695159","Specialty":"General Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"330 W 58TH ST","Second Line Street Address":"STE 610","City Name":"NEW YORK","State Code":"NY","Zip code":"100191818","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Linda","Last Name":"Penn","NPI":"1033322425","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/21\/2012","Optout End Date":"5\/21\/2026","First Line Street Address":"98 REMSEN STREET","Second Line Street Address":"","City Name":"BROOKLYN","State Code":"NY","Zip code":"112013473","Eligible to Order and Refer":"N","Last updated":"6\/15\/2024"},{"First Name":"Martin","Last Name":"Lederman","NPI":"1295787190","Specialty":"Ophthalmology","Optout Effective Date":"6\/17\/2016","Optout End Date":"6\/17\/2026","First Line Street Address":"3020 WESTCHESTER AVE","Second Line Street Address":"STE 402","City Name":"PURCHASE","State Code":"NY","Zip code":"105772561","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Annette","Last Name":"Furst","NPI":"1225248057","Specialty":"Psychiatry","Optout Effective Date":"6\/29\/2016","Optout End Date":"6\/29\/2026","First Line Street Address":"60 CARLTON RD","Second Line Street Address":"","City Name":"WABAN","State Code":"MA","Zip code":"24681914","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Bernard","Last Name":"Krupp","NPI":"1114910668","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1220 E Joppa Rd","Second Line Street Address":"#314","City Name":"TOWSON","State Code":"MD","Zip code":"21286","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Haase","NPI":"1285757559","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/19\/2012","Optout End Date":"5\/19\/2026","First Line Street Address":"3000 CONNECTICUT AVE NW","Second Line Street Address":"STE 435","City Name":"WASHINGTON","State Code":"DC","Zip code":"200082556","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Irene","Last Name":"Landsman","NPI":"1992902001","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/10\/2012","Optout End Date":"5\/10\/2026","First Line Street Address":"IRENE LANDSMAN","Second Line Street Address":"6917 ARLINGTON ROAD SUITE 317","City Name":"BETHESDA","State Code":"MD","Zip code":"20814","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Diana","Last Name":"Rosenstein","NPI":"1851506828","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"261 OLD YORK ROAD","Second Line Street Address":"SUITE 521","City Name":"JENKINTOWN","State Code":"PA","Zip code":"19046","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lisa","Last Name":"Jacobs","NPI":"1104958305","Specialty":"Clinical Psychologist","Optout Effective Date":"5\/18\/2012","Optout End Date":"5\/18\/2026","First Line Street Address":"LISA JACOBS CP","Second Line Street Address":"55 WOODLAND AVE","City Name":"SUMMIT","State Code":"NJ","Zip code":"7901","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Valerie","Last Name":"Buyse","NPI":"1568550978","Specialty":"Psychiatry","Optout Effective Date":"7\/10\/2012","Optout End Date":"7\/10\/2026","First Line Street Address":"VALERIE BUYSE","Second Line Street Address":"2110-D GALLOWS ROAD","City Name":"VIENNA","State Code":"VA","Zip code":"22182","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Fuentes","NPI":"1528147790","Specialty":"Maxillofacial Surgery","Optout Effective Date":"6\/4\/2012","Optout End Date":"6\/4\/2026","First Line Street Address":"8101 DORADO DRIVE","Second Line Street Address":"","City Name":"ODESSA","State Code":"TX","Zip code":"79765","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Paul","Last Name":"Geltner","NPI":"1205031341","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/1\/2016","Optout End Date":"4\/1\/2026","First Line Street Address":"113 UNIVERSITY PL","Second Line Street Address":"STE 801","City Name":"NEW YORK","State Code":"NY","Zip code":"100034527","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Julie","Last Name":"Stansfield","NPI":"1407804230","Specialty":"Internal Medicine","Optout Effective Date":"1\/13\/2016","Optout End Date":"1\/13\/2028","First Line Street Address":"800 HOSPITAL DRIVE","Second Line Street Address":"","City Name":"COLUMBIA","State Code":"MO","Zip code":"652015275","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Taylor","Last Name":"Starr","NPI":"1245332824","Specialty":"Oral Surgery","Optout Effective Date":"7\/13\/2011","Optout End Date":"7\/13\/2027","First Line Street Address":"6400 COBBS DRIVE","Second Line Street Address":"SUITE 500","City Name":"WACO","State Code":"TX","Zip code":"767102578","Eligible to Order and Refer":"N","Last updated":"9\/15\/2025"},{"First Name":"David","Last Name":"Weiss","NPI":"1467453001","Specialty":"Orthopedic Surgery","Optout Effective Date":"6\/16\/2012","Optout End Date":"6\/16\/2026","First Line Street Address":"161 MADISON AVE","Second Line Street Address":"RM 10NW","City Name":"NEW YORK","State Code":"NY","Zip code":"100165441","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Sydnor","Last Name":"Sikes","NPI":"1518018175","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/25\/2017","Optout End Date":"9\/25\/2027","First Line Street Address":"508 DEEP EDDY AVE","Second Line Street Address":"","City Name":"AUSTIN","State Code":"TX","Zip code":"787034554","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Lynne","Last Name":"Brody","NPI":"1750439808","Specialty":"Psychiatry","Optout Effective Date":"5\/21\/2012","Optout End Date":"5\/21\/2026","First Line Street Address":"415 BEDFORD RD","Second Line Street Address":"STE 104","City Name":"PLEASANTVILLE","State Code":"NY","Zip code":"105703014","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"David","Last Name":"Kahn","NPI":"1497774822","Specialty":"Psychiatry","Optout Effective Date":"4\/13\/2017","Optout End Date":"4\/13\/2027","First Line Street Address":"35 E 85TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100280954","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Lyle","Last Name":"Weiser","NPI":"1811068943","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"7 SCOTT LN","Second Line Street Address":"","City Name":"MANORVILLE","State Code":"NY","Zip code":"119492623","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Keith","Last Name":"Fisher","NPI":"1609866276","Specialty":"Psychiatry","Optout Effective Date":"7\/6\/2011","Optout End Date":"7\/6\/2027","First Line Street Address":"11124 WURZBACH RD","Second Line Street Address":"SUITE 206","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782302445","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"Melanie","Last Name":"Korn","NPI":"1306052808","Specialty":"Psychiatry","Optout Effective Date":"7\/9\/2014","Optout End Date":"7\/9\/2026","First Line Street Address":"5150 TAMIAMI TRAIL N 302","Second Line Street Address":"","City Name":"NAPLES","State Code":"FL","Zip code":"34103","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Eli","Last Name":"Einbinder","NPI":"1669531059","Specialty":"Psychiatry","Optout Effective Date":"11\/21\/2016","Optout End Date":"11\/21\/2026","First Line Street Address":"121 E 60TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100221117","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Brandon","Last Name":"Erdos","NPI":"1255444725","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2017","Optout End Date":"1\/1\/2027","First Line Street Address":"1330 BEACON ST","Second Line Street Address":"STE 203","City Name":"BROOKLINE","State Code":"MA","Zip code":"24463202","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Brian","Last Name":"Mirza","NPI":"1164522231","Specialty":"General Surgery","Optout Effective Date":"7\/28\/2017","Optout End Date":"7\/28\/2027","First Line Street Address":"5757 WESTHEIMER RD","Second Line Street Address":"#104","City Name":"HOUSTON","State Code":"TX","Zip code":"770575721","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Elizabeth","Last Name":"Vliet","NPI":"1881740819","Specialty":"Preventive Medicine","Optout Effective Date":"5\/4\/2018","Optout End Date":"5\/4\/2026","First Line Street Address":"1330 N BECKLEY AVE","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"75203","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Alan","Last Name":"Miyake","NPI":"1124050208","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"404 S MUSTANG RD","Second Line Street Address":"","City Name":"YUKON","State Code":"OK","Zip code":"730996754","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sandra","Last Name":"Vergara","NPI":"1528000841","Specialty":"Oral Surgery","Optout Effective Date":"11\/18\/2016","Optout End Date":"11\/18\/2026","First Line Street Address":"1004 BROOK AVE","Second Line Street Address":"","City Name":"WICHITA FALLS","State Code":"TX","Zip code":"763015007","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Angelique","Last Name":"Hart","NPI":"1588621551","Specialty":"Anesthesiology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"3491 TRINITY DR","Second Line Street Address":"STE B","City Name":"LOS ALAMOS","State Code":"NM","Zip code":"875442995","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Shela","Last Name":"Fisk","NPI":"1417084583","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/20\/2012","Optout End Date":"6\/20\/2026","First Line Street Address":"550 HAMILTON AVE","Second Line Street Address":"STE 302","City Name":"PALO ALTO","State Code":"CA","Zip code":"943012031","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Douglas","Last Name":"Kistler","NPI":"1174636799","Specialty":"Dentist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"26 ROTH CHURCH RD","Second Line Street Address":"","City Name":"SPRING GROVE","State Code":"PA","Zip code":"173621406","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Brian","Last Name":"Reigart","NPI":"1376656900","Specialty":"Oral Surgery","Optout Effective Date":"7\/7\/2006","Optout End Date":"7\/7\/2026","First Line Street Address":"26 ROTH CHURCH RD","Second Line Street Address":"","City Name":"SPRING GROVE","State Code":"PA","Zip code":"173621406","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Steven","Last Name":"Shin","NPI":"1164407862","Specialty":"Orthopedic Surgery","Optout Effective Date":"8\/14\/2024","Optout End Date":"8\/14\/2026","First Line Street Address":"444 S SAN VICENTE BLVD","Second Line Street Address":"STE 603","City Name":"LOS ANGELES","State Code":"CA","Zip code":"900484178","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Suzanne","Last Name":"Candell","NPI":"1407864515","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"8085 WAYZATA BLVD","Second Line Street Address":"","City Name":"MINNEAPOLIS","State Code":"MN","Zip code":"554261453","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mark","Last Name":"Weisberg","NPI":"1104936913","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"8085 WAYZATA BLVD","Second Line Street Address":"SUITE 205","City Name":"MINNEAPOLIS","State Code":"MN","Zip code":"554261457","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Judith","Last Name":"Savage","NPI":"1578574539","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/24\/2008","Optout End Date":"7\/24\/2026","First Line Street Address":"950 SAINT CLAIR AVE","Second Line Street Address":"","City Name":"SAINT PAUL","State Code":"MN","Zip code":"551053214","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Rhona","Last Name":"Johnston","NPI":"1225244791","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"7312 LYNNHURST STREET","Second Line Street Address":"","City Name":"CHEVYCHASE","State Code":"MD","Zip code":"20815","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Adam","Last Name":"Harris","NPI":"1114905478","Specialty":"Orthopedic Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"325E SONTERRA BLVD","Second Line Street Address":"","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782584054","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Dorinna","Last Name":"Ruh","NPI":"1568551224","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"2120 S COLLEGE AVE","Second Line Street Address":"# 6","City Name":"FORT COLLINS","State Code":"CO","Zip code":"80526","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Michael","Last Name":"Tyler","NPI":"1053432351","Specialty":"Family Practice","Optout Effective Date":"2\/13\/2017","Optout End Date":"2\/13\/2027","First Line Street Address":"14615 SAN PEDRO AVE","Second Line Street Address":"Suite 235","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782324321","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"J Richard","Last Name":"Polson","NPI":"1558317750","Specialty":"Oral Surgery","Optout Effective Date":"3\/1\/2011","Optout End Date":"3\/1\/2027","First Line Street Address":"2121 MARTIN DR","Second Line Street Address":"","City Name":"BEDFORD","State Code":"TX","Zip code":"760215993","Eligible to Order and Refer":"N","Last updated":"4\/15\/2025"},{"First Name":"Victoria","Last Name":"Morrow","NPI":"1447323340","Specialty":"Psychiatry","Optout Effective Date":"11\/10\/2016","Optout End Date":"11\/10\/2026","First Line Street Address":"255 BRADLEY ST","Second Line Street Address":"","City Name":"NEW HAVEN","State Code":"CT","Zip code":"65101105","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Frank","Last Name":"Lachmann","NPI":"1053443960","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"140 RIVERSIDE DR 1-0","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100242605","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Janice","Last Name":"Carlson","NPI":"1760503742","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5570 STERRETT PLACE","Second Line Street Address":"STE 101","City Name":"COLUMBIA","State Code":"MD","Zip code":"21044","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Forrest","NPI":"1174617427","Specialty":"Psychiatry","Optout Effective Date":"11\/29\/2021","Optout End Date":"11\/29\/2027","First Line Street Address":"81 GRACE CHURCH ST","Second Line Street Address":"","City Name":"RYE","State Code":"NY","Zip code":"105803947","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Tamara","Last Name":"Lubliner","NPI":"1154459154","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5570 STERRETT PLACE","Second Line Street Address":"","City Name":"COLUMBIA","State Code":"MD","Zip code":"21044","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Dawn","Last Name":"Broderick","NPI":"1801899489","Specialty":"Internal Medicine","Optout Effective Date":"8\/23\/2012","Optout End Date":"8\/23\/2026","First Line Street Address":"18111 PRINCE PHILIP DRIVE","Second Line Street Address":"#201","City Name":"OLNEY","State Code":"MD","Zip code":"20832","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Stephen","Last Name":"Cameron","NPI":"1821088428","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/6\/2012","Optout End Date":"7\/6\/2026","First Line Street Address":"1212 YORK ROAD","Second Line Street Address":"A 201","City Name":"LUTHERVILLE","State Code":"MD","Zip code":"21093","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Joan","Last Name":"Turkus","NPI":"1508926866","Specialty":"Psychiatry","Optout Effective Date":"6\/30\/2012","Optout End Date":"6\/30\/2026","First Line Street Address":"1307 Dolley Madison Blvd","Second Line Street Address":"#3C","City Name":"McLean","State Code":"VA","Zip code":"22101","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Patricia","Last Name":"Nay","NPI":"1124029566","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2008","Optout End Date":"7\/1\/2026","First Line Street Address":"11119 ROCKVILLE PIKE","Second Line Street Address":"STE G100","City Name":"ROCKVILLE","State Code":"MD","Zip code":"208523109","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Arthur","Last Name":"Stein","NPI":"1619136777","Specialty":"Psychiatry","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"5410 CONNECTICUT AVENUE, N.W.","Second Line Street Address":"SUITE 108","City Name":"WASHINGTON","State Code":"DC","Zip code":"200152819","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jillian","Last Name":"Evans","NPI":"1164561395","Specialty":"Psychiatry","Optout Effective Date":"8\/1\/2016","Optout End Date":"8\/1\/2026","First Line Street Address":"1020 19TH STREET NW","Second Line Street Address":"SUITE 625","City Name":"WASHINGTON","State Code":"DC","Zip code":"200366124","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Marcella","Last Name":"Walder","NPI":"1104025428","Specialty":"Clinical Social Worker","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"16 LAKESIDE DRIVE","Second Line Street Address":"","City Name":"GREENBELT","State Code":"MD","Zip code":"207701904","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Patricia","Last Name":"Wexler","NPI":"1104866680","Specialty":"Dermatology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"145 E 32ND ST 7TH FLOOR","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100166055","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Francesca","Last Name":"Fusco","NPI":"1982605317","Specialty":"Dermatology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"145 E 32ND ST 7TH FLOOR","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100166055","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Moreines","NPI":"1780722173","Specialty":"Psychiatry","Optout Effective Date":"8\/31\/2012","Optout End Date":"8\/31\/2026","First Line Street Address":"577 WESTFIELD AVENUE","Second Line Street Address":"","City Name":"WESTFIELD","State Code":"NJ","Zip code":"70903373","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Kenneth","Last Name":"Howe","NPI":"1932100245","Specialty":"Dermatology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"145 E 32ND ST","Second Line Street Address":"FL 7","City Name":"NEW YORK","State Code":"NY","Zip code":"100166055","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Eugene","Last Name":"Wexler","NPI":"1750382065","Specialty":"Dermatology","Optout Effective Date":"6\/15\/2016","Optout End Date":"6\/15\/2026","First Line Street Address":"145 E 32ND ST 7TH FLOOR","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100166055","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Katharine","Last Name":"Stratigos","NPI":"1023220498","Specialty":"Psychiatry","Optout Effective Date":"12\/14\/2020","Optout End Date":"12\/14\/2026","First Line Street Address":"15 W 72ND ST","Second Line Street Address":"APT 1P","City Name":"NEW YORK","State Code":"NY","Zip code":"100233419","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Thomas","Last Name":"Novella","NPI":"1598773269","Specialty":"Podiatry","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"343W 58TH ST 11","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100191108","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Gifford","NPI":"1659318160","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"514 9TH ST","Second Line Street Address":"","City Name":"BROOKLYN","State Code":"NY","Zip code":"112154488","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Terry","Last Name":"Vance","NPI":"1528154051","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/23\/2019","Optout End Date":"10\/23\/2027","First Line Street Address":"1611E FRANKLIN ST","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275142888","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Thomas","Last Name":"Knox","NPI":"1023169133","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"80 GROVE ST","Second Line Street Address":"","City Name":"RIDGEFIELD","State Code":"CT","Zip code":"68774104","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Pamela","Last Name":"Sabalos","NPI":"1568446714","Specialty":"Clinical Social Worker","Optout Effective Date":"5\/31\/2012","Optout End Date":"5\/31\/2026","First Line Street Address":"117 HOLDEN BEACH SWRD 105","Second Line Street Address":"","City Name":"SHALLOTTE","State Code":"NC","Zip code":"284701787","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Jennifer","Last Name":"Franklin","NPI":"1114986064","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"1318 BROAD ST","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277053533","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Mary","Last Name":"Jeffries","NPI":"1134387129","Specialty":"Pediatric Medicine","Optout Effective Date":"6\/13\/2012","Optout End Date":"6\/13\/2026","First Line Street Address":"1533 BEECH GROVE RD 6","Second Line Street Address":"","City Name":"ROSELAND","State Code":"VA","Zip code":"229672226","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Neal","Last Name":"Elattrache","NPI":"1669457354","Specialty":"Orthopedic Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6801 PARK TER","Second Line Street Address":"STE 500","City Name":"LOS ANGELES","State Code":"CA","Zip code":"900459212","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ira","Last Name":"Lipton","NPI":"1043354434","Specialty":"Psychiatry","Optout Effective Date":"7\/19\/2012","Optout End Date":"7\/19\/2026","First Line Street Address":"111 SULLIVAN AVE","Second Line Street Address":"STE 2-7","City Name":"FERNDALE","State Code":"NY","Zip code":"127344319","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sharon","Last Name":"Littzi","NPI":"1407932544","Specialty":"Dermatology","Optout Effective Date":"3\/2\/2016","Optout End Date":"3\/2\/2026","First Line Street Address":"1 MORSE COURT","Second Line Street Address":"","City Name":"NEW CANAAN","State Code":"CT","Zip code":"68405505","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Nancy","Last Name":"Sachner","NPI":"1295832194","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"4 S POMPERAUG AVE","Second Line Street Address":"","City Name":"WOODBURY","State Code":"CT","Zip code":"67983709","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jonathan","Last Name":"Silver","NPI":"1780702522","Specialty":"Psychiatry","Optout Effective Date":"8\/24\/2012","Optout End Date":"8\/24\/2026","First Line Street Address":"40 E 83RD ST","Second Line Street Address":"STE 1E","City Name":"NEW YORK","State Code":"NY","Zip code":"100280843","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Martin","Last Name":"Wilner","NPI":"1518022367","Specialty":"Psychiatry","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"113 UNIVERSITY PL","Second Line Street Address":"8TH FL OFC 11","City Name":"NEW YORK","State Code":"NY","Zip code":"100034577","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Gregg","Last Name":"Mckenzie","NPI":"1427029511","Specialty":"Oral Surgery","Optout Effective Date":"8\/23\/2012","Optout End Date":"8\/23\/2026","First Line Street Address":"124 ALPINE CIRLCE","Second Line Street Address":"","City Name":"COLUMBIA","State Code":"SC","Zip code":"29223","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Nancy","Last Name":"Livingston","NPI":"1861696270","Specialty":"Psychiatry","Optout Effective Date":"7\/31\/2012","Optout End Date":"7\/31\/2026","First Line Street Address":"1502 W HWY 54 STE 302","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"27707","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Scott","Last Name":"Hum","NPI":"1740216456","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"2500 BLUE RIDGE RD 201","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276077515","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jay","Last Name":"Jefferson","NPI":"1063471431","Specialty":"Oral Surgery","Optout Effective Date":"5\/29\/2012","Optout End Date":"5\/29\/2026","First Line Street Address":"8301 BANDFORD WAY 121","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276152766","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Brian","Last Name":"Camp","NPI":"1255308789","Specialty":"Oral Surgery","Optout Effective Date":"5\/29\/2012","Optout End Date":"5\/29\/2026","First Line Street Address":"8301 BANDFORD WAY 121","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276152766","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"John","Last Name":"Pearson","NPI":"1689641128","Specialty":"Oral Surgery","Optout Effective Date":"5\/29\/2012","Optout End Date":"5\/29\/2026","First Line Street Address":"8301 BANDFORD WAY 121","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276152766","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Patricia","Last Name":"Duprey","NPI":"1003933953","Specialty":"Dermatology","Optout Effective Date":"6\/19\/2012","Optout End Date":"6\/19\/2026","First Line Street Address":"4500 RIVERSIDE DR A","Second Line Street Address":"","City Name":"DANVILLE","State Code":"VA","Zip code":"245415167","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Joseph","Last Name":"Arzadon","NPI":"1427133743","Specialty":"Oral Surgery","Optout Effective Date":"6\/20\/2012","Optout End Date":"6\/20\/2026","First Line Street Address":"7230 HERITAGE VILLAGE PLZ 101","Second Line Street Address":"","City Name":"GAINESVILLE","State Code":"VA","Zip code":"201553054","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Steven","Last Name":"Reich","NPI":"1043315427","Specialty":"Orthopedic Surgery","Optout Effective Date":"6\/30\/2002","Optout End Date":"6\/30\/2026","First Line Street Address":"2186 STATE ROUTE 27","Second Line Street Address":"","City Name":"NORTH BRUNSWICK","State Code":"NJ","Zip code":"89021137","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Richard","Last Name":"Brown","NPI":"1487716049","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"86 SHERRY LN","Second Line Street Address":"","City Name":"KINGSTON","State Code":"NY","Zip code":"124014724","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Samuel","Last Name":"Pauker","NPI":"1679585665","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"815 PARK AVE","Second Line Street Address":"PH 1B","City Name":"NEW YORK","State Code":"NY","Zip code":"100213295","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Alberto","Last Name":"Goldwaser","NPI":"1083766000","Specialty":"Psychiatry","Optout Effective Date":"6\/30\/2000","Optout End Date":"6\/30\/2026","First Line Street Address":"239 WASHINGTON ST","Second Line Street Address":"Suite 409","City Name":"JERSEY CITY","State Code":"NJ","Zip code":"73023828","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Marc","Last Name":"Geller","NPI":"1487986485","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"337E MAIN ST","Second Line Street Address":"","City Name":"SOMERVILLE","State Code":"NJ","Zip code":"88763109","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Marina","Last Name":"Malakshanova Richards","NPI":"1841379559","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2020","Optout End Date":"10\/1\/2026","First Line Street Address":"80 CENTRAL PARK W","Second Line Street Address":"STE C","City Name":"NEW YORK","State Code":"NY","Zip code":"100235204","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Barbara","Last Name":"Shapard","NPI":"1972623213","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2017","Optout End Date":"10\/1\/2027","First Line Street Address":"3643 TALLWOOD TERRACE","Second Line Street Address":"","City Name":"FALLS CHURCH","State Code":"VA","Zip code":"220411117","Eligible to Order and Refer":"N","Last updated":"11\/14\/2025"},{"First Name":"Cynthia","Last Name":"Marks","NPI":"1669582250","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/10\/2018","Optout End Date":"8\/10\/2026","First Line Street Address":"405 PETTIGRU ST","Second Line Street Address":"","City Name":"GREENVILLE","State Code":"SC","Zip code":"296013114","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Marilyn","Last Name":"Oswald","NPI":"1790018646","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/19\/2012","Optout End Date":"7\/19\/2026","First Line Street Address":"257 CENTRAL PARK WEST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100244103","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Stephen","Last Name":"Snyder","NPI":"1396872156","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"115 CENTRAL PARK WEST","Second Line Street Address":"SUITE 15","City Name":"NEW YORK","State Code":"NY","Zip code":"10023","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"William","Last Name":"Bohlen","NPI":"1508170846","Specialty":"Dentist","Optout Effective Date":"5\/9\/2017","Optout End Date":"5\/9\/2027","First Line Street Address":"1130E BUTLER RD","Second Line Street Address":"","City Name":"GREENVILLE","State Code":"SC","Zip code":"296075908","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Alan","Last Name":"Spanos","NPI":"1144247883","Specialty":"Family Practice","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"1829E FRANKLIN ST 200A","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275141866","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Deborah","Last Name":"Hertzberg","NPI":"1649397993","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"801 FRANKLIN STREET","Second Line Street Address":"","City Name":"ALEXANDRIA","State Code":"VA","Zip code":"22314","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Allen","Last Name":"Carnes","NPI":"1306861992","Specialty":"Oral Surgery","Optout Effective Date":"11\/9\/2016","Optout End Date":"11\/9\/2026","First Line Street Address":"6641 N HIGH ST","Second Line Street Address":"STE 105","City Name":"WORTHINGTON","State Code":"OH","Zip code":"430854038","Eligible to Order and Refer":"N","Last updated":"12\/15\/2024"},{"First Name":"Clifford","Last Name":"Cook","NPI":"1417976317","Specialty":"Oral Surgery","Optout Effective Date":"1\/1\/2017","Optout End Date":"1\/1\/2027","First Line Street Address":"6641 N HIGH STREET","Second Line Street Address":"SUITE 105","City Name":"WORTHINGTON","State Code":"OH","Zip code":"430854038","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Kathleen","Last Name":"Eldredge","NPI":"1972641140","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"441 S CALIFORNIA AVE","Second Line Street Address":"STE 4","City Name":"PALO ALTO","State Code":"CA","Zip code":"943061848","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Byron","Last Name":"Henry","NPI":"1780603688","Specialty":"Oral Surgery","Optout Effective Date":"7\/9\/2012","Optout End Date":"7\/9\/2026","First Line Street Address":"6641 N HIGH ST","Second Line Street Address":"STE 105","City Name":"WORTHINGTON","State Code":"OH","Zip code":"430854038","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Charles","Last Name":"Brummer","NPI":"1730159963","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"94 KING STREET","Second Line Street Address":"","City Name":"NORTHAMPTON","State Code":"MA","Zip code":"10603284","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Barry","Last Name":"Cooper","NPI":"1760438410","Specialty":"Oral Surgery","Optout Effective Date":"7\/22\/2012","Optout End Date":"7\/22\/2026","First Line Street Address":"1315 BROADWAY","Second Line Street Address":"UNIT A","City Name":"HEWLETT","State Code":"NY","Zip code":"115572165","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lesley","Last Name":"Fein","NPI":"1568535664","Specialty":"Internal Medicine","Optout Effective Date":"1\/23\/2017","Optout End Date":"1\/23\/2027","First Line Street Address":"1099 BLOOMFIELD AVE","Second Line Street Address":"","City Name":"WEST CALDWELL","State Code":"NJ","Zip code":"7006","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Philip","Last Name":"Henjum","NPI":"1295820215","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"18109 PRINCE PHILIP DR","Second Line Street Address":"# 200","City Name":"OLNEY","State Code":"MD","Zip code":"20832","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Melanie","Last Name":"Ukanwa","NPI":"1114969896","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2022","Optout End Date":"7\/1\/2026","First Line Street Address":"4253 MONTGOMERY BLVD NE","Second Line Street Address":"STE 130","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"871091113","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Debbie","Last Name":"Janek","NPI":"1326278821","Specialty":"Nurse Practitioner","Optout Effective Date":"8\/3\/2011","Optout End Date":"8\/3\/2027","First Line Street Address":"20214 BRAIDWOOD","Second Line Street Address":"SUITE 215","City Name":"KATY","State Code":"TX","Zip code":"774502140","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"William","Last Name":"Hughes","NPI":"1619916681","Specialty":"Oral Surgery","Optout Effective Date":"6\/4\/2012","Optout End Date":"6\/4\/2026","First Line Street Address":"1510 COLUMBUS AVE","Second Line Street Address":"STE 120","City Name":"WASHINGTON COURT HOUSE","State Code":"OH","Zip code":"431601986","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Kimberly","Last Name":"Lentz","NPI":"1851374961","Specialty":"Family Practice","Optout Effective Date":"7\/10\/2012","Optout End Date":"7\/10\/2026","First Line Street Address":"1500 W OAK ST","Second Line Street Address":"STE 100","City Name":"ZIONSVILLE","State Code":"IN","Zip code":"460771827","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Barbara","Last Name":"Reisman","NPI":"1154397644","Specialty":"Psychiatry","Optout Effective Date":"7\/16\/2012","Optout End Date":"7\/16\/2026","First Line Street Address":"2180 JEFFERSON ST 206","Second Line Street Address":"","City Name":"NAPA","State Code":"CA","Zip code":"945591249","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Fields","NPI":"1578563292","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"18109 PRINCE PHILIP DR","Second Line Street Address":"#200","City Name":"OLNEY","State Code":"MD","Zip code":"20832","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Susan","Last Name":"Goebel","NPI":"1972704328","Specialty":"Nurse Practitioner","Optout Effective Date":"4\/1\/2018","Optout End Date":"4\/1\/2026","First Line Street Address":"2684 BAHAMAS WAY","Second Line Street Address":"","City Name":"GRAND JUNCTION","State Code":"CO","Zip code":"815061761","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Anthony","Last Name":"Rector","NPI":"1952422289","Specialty":"Family Practice","Optout Effective Date":"12\/17\/2010","Optout End Date":"12\/17\/2026","First Line Street Address":"113 RIVER OAKS DR","Second Line Street Address":"","City Name":"SOUTHLAKE","State Code":"TX","Zip code":"760926793","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Sean","Last Name":"Flannery","NPI":"1871685263","Specialty":"Physician Assistant","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"4045 WADSWORTH BLVD","Second Line Street Address":"SUITE 250","City Name":"WHEAT RIDGE","State Code":"CO","Zip code":"800334624","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Peter","Last Name":"Perault","NPI":"1336278506","Specialty":"Psychiatry","Optout Effective Date":"6\/18\/2012","Optout End Date":"6\/18\/2026","First Line Street Address":"101 CLOISTER CT","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275142207","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Bruce","Last Name":"Sokoloff","NPI":"1639223746","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"2700 SILVERSIDE ROAD","Second Line Street Address":"SUITE 4A","City Name":"WILMINGTON","State Code":"DE","Zip code":"198103724","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Paul","Last Name":"Spector","NPI":"1134285927","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"7329 BOULDERS VIEW LN","Second Line Street Address":"","City Name":"Richmond","State Code":"VA","Zip code":"232254953","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Nathaniel","Last Name":"Tricker","NPI":"1114903739","Specialty":"Oral Surgery","Optout Effective Date":"4\/20\/2017","Optout End Date":"4\/20\/2027","First Line Street Address":"244 HYDRAULIC RIDGE RD","Second Line Street Address":"","City Name":"CHARLOTTESVILLE","State Code":"VA","Zip code":"229018124","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Gregory","Last Name":"Miller","NPI":"1790811180","Specialty":"Dentist","Optout Effective Date":"6\/26\/2012","Optout End Date":"6\/26\/2026","First Line Street Address":"1140 SOUTH AVE","Second Line Street Address":"","City Name":"NORTH MANKATO","State Code":"MN","Zip code":"560033507","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Jonathan","Last Name":"Parker","NPI":"1396757126","Specialty":"Oral Surgery","Optout Effective Date":"6\/28\/2006","Optout End Date":"6\/28\/2026","First Line Street Address":"7225 OHMS LN STE 180","Second Line Street Address":"","City Name":"EDINA","State Code":"MN","Zip code":"554392172","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Janusz","Last Name":"Madej","NPI":"1376616706","Specialty":"Internal Medicine","Optout Effective Date":"1\/1\/2024","Optout End Date":"1\/1\/2028","First Line Street Address":"881 FREMONT AVE","Second Line Street Address":"STE B6","City Name":"LOS ALTOS","State Code":"CA","Zip code":"940245637","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Lauren","Last Name":"Seabolt","NPI":"1578691374","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/21\/2012","Optout End Date":"7\/21\/2026","First Line Street Address":"3729 BENSON DR","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276097324","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Miriam","Last Name":"Bloom","NPI":"1871611848","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6286 MONTROSE ROAD","Second Line Street Address":"","City Name":"ROCKVILLE","State Code":"MD","Zip code":"20852","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jack","Last Name":"Leiderman","NPI":"1033267802","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"P O BOX 10475","Second Line Street Address":"","City Name":"ROCKVILLE","State Code":"MD","Zip code":"20849","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Vincent","Last Name":"Frey","NPI":"1497809602","Specialty":"Oral Surgery","Optout Effective Date":"12\/5\/2016","Optout End Date":"12\/5\/2026","First Line Street Address":"28 JACKSON AVENUE","Second Line Street Address":"","City Name":"POMPTON PLAINS","State Code":"NJ","Zip code":"74441453","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Scott","Last Name":"Renfrow","NPI":"1376645440","Specialty":"Oral Surgery","Optout Effective Date":"5\/12\/2016","Optout End Date":"5\/12\/2026","First Line Street Address":"521 MERCHANT DR","Second Line Street Address":"","City Name":"NORMAN","State Code":"OK","Zip code":"730696575","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Deborah","Last Name":"Rovine","NPI":"1770700627","Specialty":"Psychiatry","Optout Effective Date":"1\/16\/2018","Optout End Date":"1\/16\/2028","First Line Street Address":"1000 FREMONT AVE","Second Line Street Address":"STE 250D","City Name":"LOS ALTOS","State Code":"CA","Zip code":"94024","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Edward","Last Name":"Giaquinto","NPI":"1992756977","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2019","Optout End Date":"1\/1\/2027","First Line Street Address":"22900 VENTURA BLVD","Second Line Street Address":"STE 120","City Name":"WOODLAND HILLS","State Code":"CA","Zip code":"913641278","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Margaret","Last Name":"Hayes","NPI":"1629149703","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2025","Optout End Date":"1\/1\/2027","First Line Street Address":"4786 MCMURRY AVE","Second Line Street Address":"UNIT 2B","City Name":"FORT COLLINS","State Code":"CO","Zip code":"805254499","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Bob","Last Name":"Oneill","NPI":"1730114950","Specialty":"Oral Surgery","Optout Effective Date":"8\/16\/2012","Optout End Date":"8\/16\/2026","First Line Street Address":"11971 IRON BRIDGE RD","Second Line Street Address":"","City Name":"CHESTER","State Code":"VA","Zip code":"238311458","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"James","Last Name":"Vangilder","NPI":"1629054473","Specialty":"Maxillofacial Surgery","Optout Effective Date":"6\/23\/2012","Optout End Date":"6\/23\/2026","First Line Street Address":"100 PROFESSIONAL PARK SEDR 1","Second Line Street Address":"","City Name":"BLACKSBURG","State Code":"VA","Zip code":"240606736","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Mehul","Last Name":"Gadhia","NPI":"1821105099","Specialty":"Dentist","Optout Effective Date":"5\/22\/2022","Optout End Date":"5\/22\/2026","First Line Street Address":"15015 LANCASTER HWY","Second Line Street Address":"STE 100","City Name":"CHARLOTTE","State Code":"NC","Zip code":"28277","Eligible to Order and Refer":"N","Last updated":"6\/15\/2024"},{"First Name":"Harold","Last Name":"Eddy","NPI":"1548377799","Specialty":"Dentist","Optout Effective Date":"5\/22\/2012","Optout End Date":"5\/22\/2026","First Line Street Address":"14135 BALLANTYNE CORPORATE PL 175","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282773876","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Mehul","Last Name":"Gadhia","NPI":"1821105099","Specialty":"Dentist","Optout Effective Date":"5\/22\/2012","Optout End Date":"5\/22\/2026","First Line Street Address":"1144 INDIA HOOK RD D","Second Line Street Address":"","City Name":"ROCK HILL","State Code":"SC","Zip code":"297322400","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Harold","Last Name":"Eddy","NPI":"1548377799","Specialty":"Dentist","Optout Effective Date":"5\/22\/2012","Optout End Date":"5\/22\/2026","First Line Street Address":"1144 INDIA HOOK RD D","Second Line Street Address":"","City Name":"ROCK HILL","State Code":"SC","Zip code":"297322400","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Luke","Last Name":"Freml","NPI":"1083860985","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"7400 FLEUR DR","Second Line Street Address":"STE 200","City Name":"DES MOINES","State Code":"IA","Zip code":"503213105","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Debora","Last Name":"Arrera","NPI":"1407836679","Specialty":"Certified Clinical Nurse Specialist (Cns)","Optout Effective Date":"7\/1\/2022","Optout End Date":"7\/1\/2026","First Line Street Address":"6053 S QUEBEC ST","Second Line Street Address":"STE 100","City Name":"CENTENNIAL","State Code":"CO","Zip code":"801114505","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Zachary","Last Name":"Hugo","NPI":"1891951521","Specialty":"Psychiatry","Optout Effective Date":"9\/4\/2014","Optout End Date":"9\/4\/2026","First Line Street Address":"8201 MISSION RD STE 261","Second Line Street Address":"","City Name":"PRAIRIE VILLAGE","State Code":"KS","Zip code":"662085214","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Connie","Last Name":"Ryan","NPI":"1316185077","Specialty":"Nurse Practitioner","Optout Effective Date":"4\/24\/2009","Optout End Date":"4\/24\/2027","First Line Street Address":"720 W 34TH STREET","Second Line Street Address":"SUITE 105","City Name":"AUSTIN","State Code":"TX","Zip code":"787051215","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Sandhya","Last Name":"Prashad","NPI":"1821237991","Specialty":"Psychiatry","Optout Effective Date":"6\/18\/2012","Optout End Date":"6\/18\/2026","First Line Street Address":"6565 WEST LOOP S","Second Line Street Address":"STE 500B","City Name":"BELLAIRE","State Code":"TX","Zip code":"774013505","Eligible to Order and Refer":"N","Last updated":"7\/15\/2024"},{"First Name":"Ana","Last Name":"Adelstein","NPI":"1881778967","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"675 SEMINOLE AVENUE NE","Second Line Street Address":"SUITE 307","City Name":"ATLANTA","State Code":"GA","Zip code":"30307","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Carol","Last Name":"Spar","NPI":"1679670558","Specialty":"Psychiatry","Optout Effective Date":"7\/20\/2012","Optout End Date":"7\/20\/2026","First Line Street Address":"941 WESTWOOD BLVD","Second Line Street Address":"STE 211","City Name":"LOS ANGELES","State Code":"CA","Zip code":"900242940","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Bonnie Jo","Last Name":"Christner","NPI":"1467587469","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2018","Optout End Date":"7\/1\/2026","First Line Street Address":"16858 CLARK ST","Second Line Street Address":"","City Name":"ENCINO","State Code":"CA","Zip code":"914361066","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Paul","Last Name":"Brinser","NPI":"1548298052","Specialty":"Oral Surgery","Optout Effective Date":"6\/28\/2012","Optout End Date":"6\/28\/2026","First Line Street Address":"11971 IRON BRIDGE RD","Second Line Street Address":"","City Name":"CHESTER","State Code":"VA","Zip code":"238311458","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Bradley","Last Name":"Trotter","NPI":"1932137825","Specialty":"Oral Surgery","Optout Effective Date":"2\/9\/2017","Optout End Date":"2\/9\/2027","First Line Street Address":"3000 COLISEUM DR","Second Line Street Address":"STE 204","City Name":"HAMPTON","State Code":"VA","Zip code":"236665963","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Robert","Last Name":"Oneill","NPI":"1326203951","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/5\/2022","Optout End Date":"7\/5\/2026","First Line Street Address":"595 OLD WAGNER RD","Second Line Street Address":"","City Name":"PETERSBURG","State Code":"VA","Zip code":"23805","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kenneth","Last Name":"Orbeck","NPI":"1548219058","Specialty":"Internal Medicine","Optout Effective Date":"8\/27\/2012","Optout End Date":"8\/27\/2026","First Line Street Address":"300 EXECUTIVE CENTER DR 200","Second Line Street Address":"","City Name":"GREENVILLE","State Code":"SC","Zip code":"296154519","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Charles","Last Name":"Kaufmann","NPI":"1821016239","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2016","Optout End Date":"10\/1\/2026","First Line Street Address":"16 DAKIN AVE","Second Line Street Address":"","City Name":"MOUNT KISCO","State Code":"NY","Zip code":"105492826","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Richard","Last Name":"Osborne","NPI":"1295817542","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2014","Optout End Date":"10\/1\/2026","First Line Street Address":"58 HENRY ST","Second Line Street Address":"","City Name":"SARATOGA SPRINGS","State Code":"NY","Zip code":"128663232","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Yael","Last Name":"Traum","NPI":"1760665418","Specialty":"Psychiatry","Optout Effective Date":"1\/26\/2015","Optout End Date":"1\/26\/2027","First Line Street Address":"YAEL TRAUM MD","Second Line Street Address":"5454 WISCONSIN AVENUE NW SUITE 1215","City Name":"CHEVY CHASE","State Code":"MD","Zip code":"20815","Eligible to Order and Refer":"N","Last updated":"2\/15\/2025"},{"First Name":"Henriette","Last Name":"Kellum","NPI":"1841484342","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6252 N KENSINGTON STREET","Second Line Street Address":"","City Name":"MCLEAN","State Code":"VA","Zip code":"22101","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Martin","Last Name":"Starr","NPI":"1417068552","Specialty":"Oral Surgery","Optout Effective Date":"7\/2\/2011","Optout End Date":"7\/2\/2027","First Line Street Address":"6400 COBBS DRIVE","Second Line Street Address":"SUITE 500","City Name":"WACO","State Code":"TX","Zip code":"767102578","Eligible to Order and Refer":"N","Last updated":"8\/15\/2025"},{"First Name":"Karen","Last Name":"Hoebich","NPI":"1407903594","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"5\/13\/2012","Optout End Date":"5\/13\/2026","First Line Street Address":"KAREN HOEBICK MD","Second Line Street Address":"1139 RARITAN ROAD SUITE 204","City Name":"CLARK","State Code":"NJ","Zip code":"7066","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Sakiliba","Last Name":"Mines","NPI":"1205044989","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"2311 M ST NW","Second Line Street Address":"STE 301","City Name":"WASHINGTON","State Code":"DC","Zip code":"200371468","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Andrew","Last Name":"Mullendore","NPI":"1649214164","Specialty":"Oral Surgery","Optout Effective Date":"1\/19\/2023","Optout End Date":"1\/19\/2027","First Line Street Address":"6555 E BROAD ST","Second Line Street Address":"","City Name":"COLUMBUS","State Code":"OH","Zip code":"432131509","Eligible to Order and Refer":"N","Last updated":"2\/15\/2025"},{"First Name":"David","Last Name":"Bullard","NPI":"1245273218","Specialty":"Oral Surgery","Optout Effective Date":"6\/2\/2012","Optout End Date":"6\/2\/2026","First Line Street Address":"201 N PLAZA BLVD","Second Line Street Address":"","City Name":"CHILLICOTHE","State Code":"OH","Zip code":"456011761","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"James","Last Name":"Solomon","NPI":"1669442828","Specialty":"Oral Surgery","Optout Effective Date":"4\/20\/2017","Optout End Date":"4\/20\/2027","First Line Street Address":"244 HYDRAULIC RIDGE RD","Second Line Street Address":"","City Name":"CHARLOTTESVILLE","State Code":"VA","Zip code":"229018124","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Curtis","Last Name":"Cassidy","NPI":"1932123734","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"832 S FLORIDA AVE","Second Line Street Address":"STE 2","City Name":"LAKELAND","State Code":"FL","Zip code":"338015202","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Dean","Last Name":"Mitchell","NPI":"1255482295","Specialty":"Allergy\/Immunology","Optout Effective Date":"12\/29\/2015","Optout End Date":"12\/29\/2027","First Line Street Address":"57 W 57TH ST","Second Line Street Address":"STE 601","City Name":"NEW YORK","State Code":"NY","Zip code":"100192824","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Vivian","Last Name":"Lee","NPI":"1134380561","Specialty":"Psychiatry","Optout Effective Date":"6\/12\/2012","Optout End Date":"6\/12\/2026","First Line Street Address":"122 E 42ND ST","Second Line Street Address":"# 1781","City Name":"NEW YORK","State Code":"NY","Zip code":"101680002","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"David","Last Name":"Kellman","NPI":"1851480941","Specialty":"Psychiatry","Optout Effective Date":"7\/15\/2012","Optout End Date":"7\/15\/2026","First Line Street Address":"905 5TH AVE","Second Line Street Address":"STE 1B","City Name":"NEW YORK","State Code":"NY","Zip code":"100214156","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Varshapriya","Last Name":"Iyer","NPI":"1134211485","Specialty":"Internal Medicine","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"436 DANBURY RD","Second Line Street Address":"","City Name":"WILTON","State Code":"CT","Zip code":"6897","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Edwin","Last Name":"Cunningham","NPI":"1538267844","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2004","Optout End Date":"7\/1\/2026","First Line Street Address":"1585 WOODLAKE DR","Second Line Street Address":"STE 101","City Name":"CHESTERFIELD","State Code":"MO","Zip code":"630175740","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Nancy","Last Name":"Gade","NPI":"1306938634","Specialty":"Internal Medicine","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"436 DANBURY RD","Second Line Street Address":"","City Name":"WILTON","State Code":"CT","Zip code":"68972023","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sidney","Last Name":"Hart","NPI":"1467587691","Specialty":"Psychiatry","Optout Effective Date":"9\/13\/2012","Optout End Date":"9\/13\/2026","First Line Street Address":"282 RAILROAD AVE","Second Line Street Address":"","City Name":"GREENWICH","State Code":"CT","Zip code":"68306375","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Kasey","Last Name":"Call","NPI":"1356502041","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"4700 BELLEVIEW AVE","Second Line Street Address":"STE L10","City Name":"KANSAS CITY","State Code":"MO","Zip code":"641121360","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Nancy","Last Name":"Russell","NPI":"1790875425","Specialty":"Internal Medicine","Optout Effective Date":"7\/17\/2010","Optout End Date":"7\/17\/2026","First Line Street Address":"5140 N ANTIOCH RD","Second Line Street Address":"","City Name":"KANSAS CITY","State Code":"MO","Zip code":"641192502","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Scott","Last Name":"Stacy","NPI":"1356406060","Specialty":"Clinical Psychologist","Optout Effective Date":"3\/15\/2017","Optout End Date":"3\/15\/2027","First Line Street Address":"730 NEW HAMPSHIRE ST","Second Line Street Address":"STE 222","City Name":"LAWRENCE","State Code":"KS","Zip code":"660442776","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Judy","Last Name":"Martin","NPI":"1881862407","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"8201 MISSION RD","Second Line Street Address":"STE 261","City Name":"PRAIRIE VILLAGE","State Code":"KS","Zip code":"662085214","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Carolyn","Last Name":"Walker","NPI":"1003865486","Specialty":"Nurse Practitioner","Optout Effective Date":"3\/17\/2015","Optout End Date":"3\/17\/2027","First Line Street Address":"2650 106TH ST STE 100","Second Line Street Address":"","City Name":"URBANDALE","State Code":"IA","Zip code":"503223734","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Daniel","Last Name":"Durrie","NPI":"1952305526","Specialty":"Ophthalmology","Optout Effective Date":"7\/1\/2008","Optout End Date":"7\/1\/2026","First Line Street Address":"5520 COLLEGE BLVD","Second Line Street Address":"STE 201","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662111658","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Wallace","Last Name":"Townsend Parchman","NPI":"1336117274","Specialty":"Psychiatry","Optout Effective Date":"8\/2\/2012","Optout End Date":"8\/2\/2026","First Line Street Address":"1306 N LOCUST ST","Second Line Street Address":"","City Name":"DENTON","State Code":"TX","Zip code":"762016908","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Cassandra","Last Name":"Whitney","NPI":"1518137801","Specialty":"Nurse Practitioner","Optout Effective Date":"1\/1\/2019","Optout End Date":"1\/1\/2027","First Line Street Address":"4714 S WESTERN","Second Line Street Address":"","City Name":"AMARILLO","State Code":"TX","Zip code":"791095950","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Bailey","Last Name":"Harrison","NPI":"1881688463","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"215 E CHOCTAW","Second Line Street Address":"SUITE 122","City Name":"MCALESTER","State Code":"OK","Zip code":"745015053","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kyle","Last Name":"Smith","NPI":"1669688156","Specialty":"Oral Surgery","Optout Effective Date":"7\/23\/2018","Optout End Date":"7\/23\/2026","First Line Street Address":"7800 MOPAC","Second Line Street Address":"# 310","City Name":"AUSTIN","State Code":"TX","Zip code":"78759","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Nina","Last Name":"Pesante","NPI":"1437125978","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"300 MAIN ST","Second Line Street Address":"STE 4","City Name":"VESTAL","State Code":"NY","Zip code":"138501545","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Peter","Last Name":"Graham","NPI":"1215092721","Specialty":"Clinical Psychologist","Optout Effective Date":"3\/15\/2017","Optout End Date":"3\/15\/2027","First Line Street Address":"730 NEW HAMPSHIRE ST","Second Line Street Address":"STE 222","City Name":"LAWRENCE","State Code":"KS","Zip code":"660442776","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Diane","Last Name":"Meglin","NPI":"1619187366","Specialty":"Clinical Social Worker","Optout Effective Date":"6\/26\/2012","Optout End Date":"6\/26\/2026","First Line Street Address":"14 SOUTHAMPTON PL","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277051857","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Neil","Last Name":"Singhania","NPI":"1669535886","Specialty":"Allergy\/Immunology","Optout Effective Date":"3\/2\/2017","Optout End Date":"3\/2\/2027","First Line Street Address":"5421 MATLOCK RD","Second Line Street Address":"","City Name":"ARLINGTON","State Code":"TX","Zip code":"760181532","Eligible to Order and Refer":"N","Last updated":"4\/15\/2025"},{"First Name":"Raymond","Last Name":"Kaercher","NPI":"1336122886","Specialty":"Oral Surgery","Optout Effective Date":"7\/12\/2011","Optout End Date":"7\/12\/2027","First Line Street Address":"12274 BANDERA RD","Second Line Street Address":"","City Name":"HELOTES","State Code":"TX","Zip code":"780234385","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Stephen","Last Name":"Tew","NPI":"1114917713","Specialty":"Psychiatry","Optout Effective Date":"10\/25\/2010","Optout End Date":"10\/25\/2026","First Line Street Address":"3400 BISSONNET","Second Line Street Address":"SUITE 206","City Name":"HOUSTON","State Code":"TX","Zip code":"770052100","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Pratt","NPI":"1740585645","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1577 BEACON ST","Second Line Street Address":"","City Name":"BROOKLINE","State Code":"MA","Zip code":"24464602","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Karen","Last Name":"Miday","NPI":"1568532943","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1015 DELTA AVENUE","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"452083103","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Bryan","Last Name":"Warner","NPI":"1710917604","Specialty":"Family Practice","Optout Effective Date":"9\/10\/2010","Optout End Date":"9\/10\/2026","First Line Street Address":"1034 S BRENTWOOD BLVD","Second Line Street Address":"STE 516","City Name":"SAINT LOUIS","State Code":"MO","Zip code":"631171205","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Edward","Last Name":"Weideman","NPI":"1982727657","Specialty":"Oral Surgery","Optout Effective Date":"5\/7\/2020","Optout End Date":"5\/7\/2026","First Line Street Address":"8671 S QUEBEC ST","Second Line Street Address":"SUITE 100","City Name":"HIGHLANDS RANCH","State Code":"CO","Zip code":"80130","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Phillip","Last Name":"Iero","NPI":"1497722664","Specialty":"Oral Surgery","Optout Effective Date":"9\/20\/2010","Optout End Date":"9\/20\/2026","First Line Street Address":"6800 WEST LOOP SOUTH","Second Line Street Address":"SUITE 350","City Name":"BELLAIRE","State Code":"TX","Zip code":"774014540","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Daniel","Last Name":"Odell","NPI":"1598971087","Specialty":"Oral Surgery","Optout Effective Date":"7\/19\/2018","Optout End Date":"7\/19\/2026","First Line Street Address":"7800 MOPAC","Second Line Street Address":"# 310","City Name":"AUSTIN","State Code":"TX","Zip code":"787598961","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robban","Last Name":"Sica","NPI":"1144360629","Specialty":"General Practice","Optout Effective Date":"6\/18\/2016","Optout End Date":"6\/18\/2026","First Line Street Address":"1 TURKEY HILL RD S","Second Line Street Address":"","City Name":"WESTPORT","State Code":"CT","Zip code":"68805525","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Jessica","Last Name":"Brown","NPI":"1093815961","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"50 E 77TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100751842","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Michael","Last Name":"Brown","NPI":"1225067655","Specialty":"Psychiatry","Optout Effective Date":"7\/30\/2008","Optout End Date":"7\/30\/2026","First Line Street Address":"4500 COLLEGE BLVD","Second Line Street Address":"STE 304","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662111760","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Stephen","Last Name":"Samuelson","NPI":"1932139466","Specialty":"Psychiatry","Optout Effective Date":"7\/30\/2008","Optout End Date":"7\/30\/2026","First Line Street Address":"4500 COLLEGE BLVD STE 304","Second Line Street Address":"","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662111760","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jonathan","Last Name":"De Jong","NPI":"1396952297","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"804 KENYON RD STE 120","Second Line Street Address":"","City Name":"FORT DODGE","State Code":"IA","Zip code":"505015746","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jerry","Last Name":"Boyd","NPI":"1851381792","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2006","Optout End Date":"7\/1\/2026","First Line Street Address":"1901 18TH ST","Second Line Street Address":"","City Name":"CHARLESTON","State Code":"IL","Zip code":"619203612","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Adrienne","Last Name":"Balsam","NPI":"1285684365","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"4711 GOLF RD STE 1200","Second Line Street Address":"","City Name":"SKOKIE","State Code":"IL","Zip code":"600761200","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Cathie","Last Name":"Dunal","NPI":"1639219934","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"60 REVERE DR","Second Line Street Address":"STE 505","City Name":"NORTHBROOK","State Code":"IL","Zip code":"600621577","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Cohen","NPI":"1730179680","Specialty":"Dermatology","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"530 FIRST AVENUE","Second Line Street Address":"SUITE 7R","City Name":"NEW YORK","State Code":"NY","Zip code":"100166402","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Leanne","Last Name":"Domash","NPI":"1437460722","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"77 E 12TH ST","Second Line Street Address":"APT 19D","City Name":"NEW YORK","State Code":"NY","Zip code":"100035009","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Benjamin","Last Name":"Mccommon","NPI":"1295764306","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"25 W 81ST ST","Second Line Street Address":"STE 1A","City Name":"NEW YORK","State Code":"NY","Zip code":"100246023","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sandra","Last Name":"Park","NPI":"1326086158","Specialty":"Psychiatry","Optout Effective Date":"6\/28\/2017","Optout End Date":"6\/28\/2027","First Line Street Address":"113 1\/2 E 62ND ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100657301","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"Joan","Last Name":"Miller","NPI":"1982776308","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2014","Optout End Date":"7\/1\/2026","First Line Street Address":"2520 WINDY HILL ROAD","Second Line Street Address":"SUITE 106","City Name":"MARIETTA","State Code":"GA","Zip code":"300678633","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Susan","Last Name":"Blum","NPI":"1790983070","Specialty":"Preventive Medicine","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"34 RYE RIDGE PLZ","Second Line Street Address":"","City Name":"RYE BROOK","State Code":"NY","Zip code":"105732820","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mary Ann","Last Name":"Cohen","NPI":"1285643478","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"350 CENTRAL PARK WEST","Second Line Street Address":"SUITE 1AD MAILBOX 1J","City Name":"NEW YORK","State Code":"NY","Zip code":"100256547","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Daniel","Last Name":"Bendor","NPI":"1205028214","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"567 VAUXHALL STREET EXT","Second Line Street Address":"STE 326","City Name":"WATERFORD","State Code":"CT","Zip code":"63854358","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Steven","Last Name":"Deangeles","NPI":"1467438630","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2006","Optout End Date":"7\/1\/2026","First Line Street Address":"200 S MICHIGAN AVE STE 830","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606042417","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lee","Last Name":"Schwartz","NPI":"1538168695","Specialty":"Psychiatry","Optout Effective Date":"1\/8\/2016","Optout End Date":"1\/8\/2028","First Line Street Address":"150 E HURON ST","Second Line Street Address":"STE 1101","City Name":"CHICAGO","State Code":"IL","Zip code":"606112948","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Moses","Last Name":"Ramos","NPI":"1013137561","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2016","Optout End Date":"10\/1\/2026","First Line Street Address":"1813 N WESTMORELAND RD","Second Line Street Address":"","City Name":"DESOTO","State Code":"TX","Zip code":"751152269","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Thomas","Last Name":"Pillion","NPI":"1942461348","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"44084 RIVERSIDE PKWY 240","Second Line Street Address":"","City Name":"LEESBURG","State Code":"VA","Zip code":"201765102","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Young","NPI":"1407155880","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2019","Optout End Date":"1\/1\/2027","First Line Street Address":"3 BOARS HEAD LN C6","Second Line Street Address":"","City Name":"CHARLOTTESVILLE","State Code":"VA","Zip code":"229034604","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Ghislaine","Last Name":"Boulanger","NPI":"1780768549","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/8\/2012","Optout End Date":"7\/8\/2026","First Line Street Address":"242 W 101ST ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100254971","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jonathan","Last Name":"Deland","NPI":"1386651644","Specialty":"Orthopedic Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"535 E 70TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100214823","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Leslie","Last Name":"Prusnofsky","NPI":"1124024591","Specialty":"Psychiatry","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"361 ROUTE 202","Second Line Street Address":"","City Name":"SOMERS","State Code":"NY","Zip code":"10589","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Barney","Last Name":"Kenet","NPI":"1992810469","Specialty":"Dermatology","Optout Effective Date":"12\/11\/2012","Optout End Date":"12\/11\/2026","First Line Street Address":"25 E 86TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100280553","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Joseph","Last Name":"James","NPI":"1902902703","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"1701 MOORES LANE","Second Line Street Address":"","City Name":"TEXARKANA","State Code":"TX","Zip code":"755031894","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Richard","Last Name":"Quisling","NPI":"1528006707","Specialty":"Otolaryngology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"593 STEWART\u0027S FERRY PIKE","Second Line Street Address":"","City Name":"NASHVILLE","State Code":"TN","Zip code":"37214","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Kraft","NPI":"1649278482","Specialty":"Clinical Psychologist","Optout Effective Date":"3\/6\/2017","Optout End Date":"3\/6\/2027","First Line Street Address":"11909 ARBOR ST Ste J","Second Line Street Address":"","City Name":"OMAHA","State Code":"NE","Zip code":"681442970","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Stanley","Last Name":"Shapiro","NPI":"1770673022","Specialty":"Psychiatry","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"5 BOND STREET","Second Line Street Address":"","City Name":"GREAT NECK","State Code":"NY","Zip code":"110212444","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Donald","Last Name":"Wilmes","NPI":"1780717314","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"711 W. 40TH ST","Second Line Street Address":"SUITE 456-A","City Name":"BALTIMORE","State Code":"MD","Zip code":"21211","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"James","Last Name":"Harper","NPI":"1396866273","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"6\/4\/2018","Optout End Date":"6\/4\/2026","First Line Street Address":"2215 RANDOLPH RD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282071523","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Anetta","Last Name":"Reszko","NPI":"1114186400","Specialty":"Dermatology","Optout Effective Date":"6\/15\/2017","Optout End Date":"6\/15\/2027","First Line Street Address":"135 E 71ST ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100214383","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2025"},{"First Name":"Christen","Last Name":"Kerr","NPI":"1194995464","Specialty":"Psychiatry","Optout Effective Date":"8\/6\/2012","Optout End Date":"8\/6\/2026","First Line Street Address":"1307 DOLLEY MADISON BLVD","Second Line Street Address":"SUITE 3C","City Name":"MCLEAN","State Code":"VA","Zip code":"221013913","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Michele","Last Name":"Green","NPI":"1689752404","Specialty":"Dermatology","Optout Effective Date":"9\/18\/2018","Optout End Date":"9\/18\/2026","First Line Street Address":"156 E 79TH ST","Second Line Street Address":"APT 1B","City Name":"NEW YORK","State Code":"NY","Zip code":"100750570","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Joseph","Last Name":"Goldberg","NPI":"1194948323","Specialty":"Psychiatry","Optout Effective Date":"8\/8\/2022","Optout End Date":"8\/8\/2026","First Line Street Address":"128 EAST AVE","Second Line Street Address":"","City Name":"NORWALK","State Code":"CT","Zip code":"68515738","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Susan","Last Name":"Shimmerlik","NPI":"1396953410","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/3\/2012","Optout End Date":"8\/3\/2026","First Line Street Address":"27 W 86TH ST","Second Line Street Address":"# 1A","City Name":"NEW YORK","State Code":"NY","Zip code":"100243615","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Kirsten","Last Name":"Searfus","NPI":"1548214778","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"100 JENKINS RANCH RD","Second Line Street Address":"SUITE D","City Name":"DURANGO","State Code":"CO","Zip code":"81301","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Johnson","NPI":"1194788141","Specialty":"Dentist","Optout Effective Date":"2\/1\/2018","Optout End Date":"2\/1\/2028","First Line Street Address":"1120 E ELIZABETH","Second Line Street Address":"SUITE G4","City Name":"FT COLLINS","State Code":"CO","Zip code":"805244044","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Bruce","Last Name":"Arne","NPI":"1558496042","Specialty":"Oral Surgery","Optout Effective Date":"7\/24\/2012","Optout End Date":"7\/24\/2026","First Line Street Address":"1510 MEDICAL CENTER DR","Second Line Street Address":"","City Name":"WILMINGTON","State Code":"NC","Zip code":"284017506","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Gregg","Last Name":"Lombardo","NPI":"1528193000","Specialty":"Oral Surgery","Optout Effective Date":"7\/24\/2012","Optout End Date":"7\/24\/2026","First Line Street Address":"1510 MEDICAL CENTER DR","Second Line Street Address":"","City Name":"WILMINGTON","State Code":"NC","Zip code":"284017506","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lida","Last Name":"Jeck","NPI":"1972730794","Specialty":"Psychiatry","Optout Effective Date":"7\/24\/2012","Optout End Date":"7\/24\/2026","First Line Street Address":"1502W NC HIGHWAY 54 302","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277075572","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Glen","Last Name":"Gabbard","NPI":"1497956692","Specialty":"Psychiatry","Optout Effective Date":"2\/12\/2019","Optout End Date":"2\/12\/2027","First Line Street Address":"4306 YOAKUM BLVD","Second Line Street Address":"STE 535","City Name":"HOUSTON","State Code":"TX","Zip code":"770065882","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"John","Last Name":"Hensala","NPI":"1972698496","Specialty":"Psychiatry","Optout Effective Date":"7\/9\/2012","Optout End Date":"7\/9\/2026","First Line Street Address":"141 LOWER TER","Second Line Street Address":"","City Name":"SAN FRANCISCO","State Code":"CA","Zip code":"941141412","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jenifer","Last Name":"Takats","NPI":"1952395204","Specialty":"Psychiatry","Optout Effective Date":"7\/10\/2012","Optout End Date":"7\/10\/2026","First Line Street Address":"575 COPELAND MILL RD","Second Line Street Address":"STE 1E","City Name":"WESTERVILLE","State Code":"OH","Zip code":"430818977","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mark","Last Name":"Obernesser","NPI":"1821077710","Specialty":"Oral Surgery","Optout Effective Date":"7\/20\/2012","Optout End Date":"7\/20\/2026","First Line Street Address":"484S MILLER ROAD","Second Line Street Address":"","City Name":"AKRON","State Code":"OH","Zip code":"443334176","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sarah","Last Name":"Stemp","NPI":"1124111737","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"98 RIVERSIDE DR","Second Line Street Address":"# 1C","City Name":"NEW YORK","State Code":"NY","Zip code":"100245323","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mark","Last Name":"Iacobelli","NPI":"1982875761","Specialty":"Dentist","Optout Effective Date":"4\/1\/2024","Optout End Date":"4\/1\/2026","First Line Street Address":"8030 CORPORATE CIRCLE","Second Line Street Address":"","City Name":"NORTH ROYALTON","State Code":"OH","Zip code":"44133","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Lee","Last Name":"Shonfield","NPI":"1073582953","Specialty":"Psychiatry","Optout Effective Date":"8\/10\/2012","Optout End Date":"8\/10\/2026","First Line Street Address":"4422 CARVER WOODS DRIVE","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"452425536","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Julie","Last Name":"Surbaugh-Contreras","NPI":"1124269428","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/24\/2019","Optout End Date":"10\/24\/2027","First Line Street Address":"31 WASHINGTON SQ W","Second Line Street Address":"APT 5R","City Name":"NEW YORK","State Code":"NY","Zip code":"100119172","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Steven","Last Name":"Glazer","NPI":"1912011578","Specialty":"Internal Medicine","Optout Effective Date":"7\/22\/2012","Optout End Date":"7\/22\/2026","First Line Street Address":"128 EAST AVENUE","Second Line Street Address":"","City Name":"NORWALK","State Code":"CT","Zip code":"68515738","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Michelle","Last Name":"Hirsch","NPI":"1598893836","Specialty":"Psychiatry","Optout Effective Date":"4\/12\/2016","Optout End Date":"4\/12\/2026","First Line Street Address":"401 WEST END AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100245724","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Allen","Last Name":"Levy","NPI":"1013014315","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/24\/2024","Optout End Date":"1\/24\/2028","First Line Street Address":"10 BAY ST","Second Line Street Address":"","City Name":"WESTPORT","State Code":"CT","Zip code":"68804326","Eligible to Order and Refer":"N","Last 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Street Address":"STE G4","City Name":"FORT COLLINS","State Code":"CO","Zip code":"805244044","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"David","Last Name":"Harris","NPI":"1144433046","Specialty":"Oral Surgery","Optout Effective Date":"7\/28\/2012","Optout End Date":"7\/28\/2026","First Line Street Address":"3869 DARROW ROAD","Second Line Street Address":"STE 209","City Name":"STOW","State Code":"OH","Zip code":"442242677","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Harold","Last Name":"Biller","NPI":"1083617088","Specialty":"Oral Surgery","Optout Effective Date":"11\/25\/2015","Optout End Date":"11\/25\/2027","First Line Street Address":"7025 YELLOWSTONE BLVD 1P","Second Line Street Address":"","City Name":"FOREST HILLS","State Code":"NY","Zip code":"113753165","Eligible to Order and Refer":"N","Last updated":"12\/15\/2025"},{"First Name":"Maureen","Last Name":"Burrows","NPI":"1518038199","Specialty":"Psychiatry","Optout Effective Date":"6\/27\/2012","Optout End Date":"6\/27\/2026","First Line Street Address":"1600 WEST 38TH ST","Second Line Street Address":"SUITE 404","City Name":"AUSTIN","State Code":"TX","Zip code":"787316407","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Rebecca","Last Name":"Clearman","NPI":"1669549002","Specialty":"Physical Medicine And Rehabilitation","Optout Effective Date":"8\/3\/2012","Optout End Date":"8\/3\/2026","First Line Street Address":"7505 S MAIN ST","Second Line Street Address":"STE 530","City Name":"HOUSTON","State Code":"TX","Zip code":"77030","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Herschel","Last Name":"Flax","NPI":"1295890986","Specialty":"General Surgery","Optout Effective Date":"1\/27\/2016","Optout End Date":"1\/27\/2028","First Line Street Address":"28 HICKORY DR","Second Line Street Address":"","City Name":"GREAT NECK","State Code":"NY","Zip code":"110211707","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Randall","Last Name":"Dwenger","NPI":"1649291980","Specialty":"Psychiatry","Optout Effective Date":"9\/12\/2018","Optout End Date":"9\/12\/2026","First Line Street Address":"3 BROOK ST","Second Line Street Address":"","City Name":"LAKEVILLE","State Code":"CT","Zip code":"60391144","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Emily","Last Name":"Gastelum","NPI":"1386802106","Specialty":"Psychiatry","Optout Effective Date":"3\/20\/2017","Optout End Date":"3\/20\/2027","First Line Street Address":"157 E 86TH ST","Second Line Street Address":"# 461","City Name":"NEW YORK","State Code":"NY","Zip code":"100282175","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Janet","Last Name":"Pipal","NPI":"1467789644","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/16\/2010","Optout End Date":"7\/16\/2026","First Line Street Address":"PO BOX 1935","Second Line Street Address":"","City Name":"FORT COLLINS","State Code":"CO","Zip code":"805221935","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Ann","Last Name":"Greig","NPI":"1932250958","Specialty":"Nurse Practitioner","Optout Effective Date":"10\/1\/2016","Optout End Date":"10\/1\/2026","First Line Street Address":"1241 MAMARONECK AVE","Second Line Street Address":"","City Name":"WHITE PLAINS","State Code":"NY","Zip code":"106055201","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Risin","NPI":"1407800808","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"1\/1\/2008","Optout End Date":"1\/1\/2028","First Line Street Address":"P O BOX 398","Second Line Street Address":"","City Name":"HOLMDEL","State Code":"NJ","Zip code":"77330398","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Mark","Last Name":"Morris","NPI":"1851390199","Specialty":"Pediatric Medicine","Optout Effective Date":"12\/9\/2010","Optout End Date":"12\/9\/2026","First Line Street Address":"26 MILLBURN AVE","Second Line Street Address":"","City Name":"SPRINGFIELD","State Code":"NJ","Zip code":"70811071","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Lisa","Last Name":"Director","NPI":"1669593786","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/13\/2012","Optout End Date":"8\/13\/2026","First Line Street Address":"124 W 79TH ST","Second Line Street Address":"APT 1C","City Name":"NEW YORK","State Code":"NY","Zip code":"100246488","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Karen","Last Name":"Moritz","NPI":"1912075037","Specialty":"Psychiatry","Optout Effective Date":"8\/15\/2012","Optout End Date":"8\/15\/2026","First Line Street Address":"8820 LADUE RD","Second Line Street Address":"STE 307","City Name":"SAINT LOUIS","State Code":"MO","Zip code":"631242079","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Judit","Last Name":"Lendvay","NPI":"1487724506","Specialty":"Psychiatry","Optout Effective Date":"9\/28\/2015","Optout End Date":"9\/28\/2027","First Line Street Address":"250E HARTSDALE AVE 33","Second Line Street Address":"","City Name":"HARTSDALE","State Code":"NY","Zip code":"105303507","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Ellen","Last Name":"Nakhnikian","NPI":"1154374858","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"130 ALLENS CREEK RD","Second Line Street Address":"","City Name":"ROCHESTER","State Code":"NY","Zip code":"146183305","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Nicole","Last Name":"Regent","NPI":"1801825559","Specialty":"Psychiatry","Optout Effective Date":"8\/1\/2016","Optout End Date":"8\/1\/2026","First Line Street Address":"876 PARK AVE","Second Line Street Address":"OFC 1C","City Name":"NEW YORK","State Code":"NY","Zip code":"100751843","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kyra","Last Name":"Sposato","NPI":"1598838658","Specialty":"Nurse Practitioner","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"12 MANSION DR","Second Line Street Address":"","City Name":"GLEN COVE","State Code":"NY","Zip code":"115423421","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Aimee","Last Name":"Seidman","NPI":"1194797225","Specialty":"Internal Medicine","Optout Effective Date":"9\/20\/2012","Optout End Date":"9\/20\/2026","First Line Street Address":"9420 KEY WEST AVE","Second Line Street Address":"STE 104","City Name":"ROCKVILLE","State Code":"MD","Zip code":"208506369","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Ezra","Last Name":"Feuer","NPI":"1467510321","Specialty":"Psychiatry","Optout Effective Date":"3\/16\/2016","Optout End Date":"3\/16\/2026","First Line Street Address":"45 N STATION PLZ","Second Line Street Address":"STE 205","City Name":"GREAT NECK","State Code":"NY","Zip code":"110215031","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Beatriz","Last Name":"Olson","NPI":"1871543009","Specialty":"Endocrinology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1625 STRAITS TPKE","Second Line Street Address":"STE 207","City Name":"MIDDLEBURY","State Code":"CT","Zip code":"67621836","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ronald","Last Name":"Levine","NPI":"1154473817","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"475 COGNEWAUGH RD","Second Line Street Address":"","City Name":"COS COB","State Code":"CT","Zip code":"68071108","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lawrence","Last Name":"Malerba","NPI":"1952769630","Specialty":"General Practice","Optout Effective Date":"7\/10\/2012","Optout End Date":"7\/10\/2026","First Line Street Address":"2592 WESTERN AVE","Second Line Street Address":"","City Name":"ALTAMONT","State Code":"NY","Zip code":"120099401","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Fred","Last Name":"Caudill","NPI":"1144250663","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"130 MATTHEWS STATION ST 2B","Second Line Street Address":"","City Name":"MATTHEWS","State Code":"NC","Zip code":"281056721","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lori","Last Name":"Legrand","NPI":"1336168251","Specialty":"Psychiatry","Optout Effective Date":"8\/10\/2012","Optout End Date":"8\/10\/2026","First Line Street Address":"225 S HURSTBOURNE PKWY","Second Line Street Address":"STE 201","City Name":"LOUISVILLE","State Code":"KY","Zip code":"402224929","Eligible to Order and Refer":"N","Last updated":"9\/15\/2024"},{"First Name":"Kalpana","Last Name":"Kumar","NPI":"1235188681","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2002","Optout End Date":"7\/1\/2026","First Line Street Address":"1166 QUAIL CRT STE 210","Second Line Street Address":"","City Name":"PEWAUKEE","State Code":"WI","Zip code":"530723775","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jay","Last Name":"Radin","NPI":"1366594947","Specialty":"Clinical Psychologist","Optout Effective Date":"3\/18\/2015","Optout End Date":"3\/18\/2027","First Line Street Address":"2200 FULLER CT","Second Line Street Address":"STE 1106B","City Name":"ANN ARBOR","State Code":"MI","Zip code":"481052384","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Dean","Last Name":"Hussong","NPI":"1790901395","Specialty":"Oral Surgery","Optout Effective Date":"7\/17\/2008","Optout End Date":"7\/17\/2026","First Line Street Address":"10 BRADLEY FARM RD","Second Line Street Address":"","City Name":"TOMAHAWK","State Code":"WI","Zip code":"544871863","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lucetta","Last Name":"Lyford","NPI":"1396749800","Specialty":"Physician Assistant","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"430 W CENTRE AVE","Second Line Street Address":"","City Name":"PORTAGE","State Code":"MI","Zip code":"490245304","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Michael","Last Name":"Park","NPI":"1942204680","Specialty":"Allergy\/Immunology","Optout Effective Date":"7\/1\/2010","Optout End Date":"7\/1\/2026","First Line Street Address":"430 W CENTRE AVE","Second Line Street Address":"","City Name":"PORTAGE","State Code":"MI","Zip code":"490245304","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"John","Last Name":"Blanchard","NPI":"1083613871","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2004","Optout End Date":"7\/1\/2026","First Line Street Address":"6483 CITATION DR","Second Line Street Address":"STE B","City Name":"CLARKSTON","State Code":"MI","Zip code":"483462994","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Geraldine","Last Name":"Wu","NPI":"1497732846","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"9403 KENWOOD RD","Second Line Street Address":"STE A120","City Name":"CINCINNATI","State Code":"OH","Zip code":"452426883","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jim","Last Name":"Morningstar","NPI":"1669687406","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2000","Optout End Date":"7\/1\/2026","First Line Street Address":"4200 W GOOD HOPE RD","Second Line Street Address":"","City Name":"MILWAUKEE","State Code":"WI","Zip code":"532092250","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Angela","Last Name":"Cappiello","NPI":"1336247709","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"49 WELLES ST","Second Line Street Address":"STE 216","City Name":"GLASTONBURY","State Code":"CT","Zip code":"60334205","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Catherine","Last Name":"Waller","NPI":"1639292832","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2006","Optout End Date":"4\/1\/2026","First Line Street Address":"1854 W AUBURN RD","Second Line Street Address":"STE 400","City Name":"ROCHESTER HILLS","State Code":"MI","Zip code":"483091854","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Judith","Last Name":"Heilizer","NPI":"1043453681","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/2\/2012","Optout End Date":"7\/2\/2026","First Line Street Address":"1905 MADISON ST","Second Line Street Address":"","City Name":"MADISON","State Code":"WI","Zip code":"537112127","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Barbara","Last Name":"Rust","NPI":"1275758229","Specialty":"Clinical Psychologist","Optout Effective Date":"2\/4\/2015","Optout End Date":"2\/4\/2027","First Line Street Address":"202 E WASHINGTON ST","Second Line Street Address":"STE 407","City Name":"ANN ARBOR","State Code":"MI","Zip code":"481042017","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Andreas","Last Name":"Kraebber","NPI":"1043371404","Specialty":"Psychiatry","Optout Effective Date":"1\/8\/2015","Optout End Date":"1\/8\/2027","First Line Street Address":"876 PARK AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100751832","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Danny","Last Name":"Bennett","NPI":"1558481192","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"9\/1\/2006","Optout End Date":"9\/1\/2026","First Line Street Address":"4601 W 109TH ST STE 340","Second Line Street Address":"","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662111315","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Robert","Last Name":"Grossman","NPI":"1225247539","Specialty":"Psychiatry","Optout Effective Date":"6\/1\/2012","Optout End Date":"6\/1\/2026","First Line Street Address":"925 PARK AVE","Second Line Street Address":"SUITE 1B","City Name":"NEW YORK","State Code":"NY","Zip code":"100280210","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"David","Last Name":"Cook","NPI":"1548369655","Specialty":"Neurology","Optout Effective Date":"8\/16\/2012","Optout End Date":"8\/16\/2026","First Line Street Address":"1219 WALNUT ST","Second Line Street Address":"","City Name":"CARY","State Code":"NC","Zip code":"275114730","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Nicole","Last Name":"Imbraguglio","NPI":"1851544209","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/10\/2019","Optout End Date":"1\/10\/2027","First Line Street Address":"5316 HIGHGATE DR","Second Line Street Address":"STE 222","City Name":"DURHAM","State Code":"NC","Zip code":"277136629","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"John","Last Name":"Markowitz","NPI":"1164598736","Specialty":"Psychiatry","Optout Effective Date":"3\/13\/2018","Optout End Date":"3\/13\/2026","First Line Street Address":"40 E 83RD ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100280843","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"David","Last Name":"Hennington","NPI":"1114921574","Specialty":"Oral Surgery","Optout Effective Date":"1\/2\/2017","Optout End Date":"1\/2\/2027","First Line Street Address":"3613 WILLIAMS DRIVE","Second Line Street Address":"SUITE 1001","City Name":"GEORGETOWN","State Code":"TX","Zip code":"786281376","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Jeffrey","Last Name":"Kent","NPI":"1831257625","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"23 BRIAR LANE","Second Line Street Address":"","City Name":"JERICHO","State Code":"NY","Zip code":"117532211","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"John","Last Name":"Jones","NPI":"1518188036","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/26\/2010","Optout End Date":"7\/26\/2026","First Line Street Address":"206 N RANDOLPH ST","Second Line Street Address":"STE 534535","City Name":"CHAMPAIGN","State Code":"IL","Zip code":"618203949","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Gorelick","NPI":"1326143942","Specialty":"Physical Medicine And Rehabilitation","Optout Effective Date":"6\/21\/2010","Optout End Date":"6\/21\/2026","First Line Street Address":"2626 N 76TH ST","Second Line Street Address":"","City Name":"Milwaukee","State Code":"WI","Zip code":"532131137","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Michael","Last Name":"Stohle","NPI":"1750360608","Specialty":"Maxillofacial Surgery","Optout Effective Date":"8\/1\/2008","Optout End Date":"8\/1\/2026","First Line Street Address":"500 DAVIS ST","Second Line Street Address":"STE 509","City Name":"EVANSTON","State Code":"IL","Zip code":"602014621","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Gary","Last Name":"Borden","NPI":"1548230865","Specialty":"Oral Surgery","Optout Effective Date":"8\/1\/2008","Optout End Date":"8\/1\/2026","First Line Street Address":"500 DAVIS ST STE 509","Second Line Street Address":"","City Name":"EVANSTON","State Code":"IL","Zip code":"602014621","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"John","Last Name":"Kennedy","NPI":"1902913791","Specialty":"Orthopedic Surgery","Optout Effective Date":"7\/23\/2016","Optout End Date":"7\/23\/2026","First Line Street Address":"171 DELANCEY ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"10002","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Paul","Last Name":"Akers","NPI":"1639149909","Specialty":"Oral Surgery","Optout Effective Date":"8\/1\/2008","Optout End Date":"8\/1\/2026","First Line Street Address":"1775 GLENVIEW RD","Second Line Street Address":"STE 202","City Name":"GLENVIEW","State Code":"IL","Zip code":"600252900","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kimberly","Last Name":"Mcmahon","NPI":"1922101831","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"5\/11\/2015","Optout End Date":"5\/11\/2027","First Line Street Address":"900N KINGSBURY ST 130N","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606107457","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Dayna","Last Name":"Salasche","NPI":"1053377234","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"5\/11\/2015","Optout End Date":"5\/11\/2027","First Line Street Address":"900 N KINGSBURY ST","Second Line Street Address":"STE 130N","City Name":"CHICAGO","State Code":"IL","Zip code":"606107457","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Melissa","Last Name":"Dugan Kim","NPI":"1144409939","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"5\/11\/2015","Optout End Date":"5\/11\/2027","First Line Street Address":"900N KINGSBURY ST 130N","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606107457","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Bonnie","Last Name":"Wise","NPI":"1871559120","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"5\/11\/2015","Optout End Date":"5\/11\/2027","First Line Street Address":"900 N KINGSBURY ST","Second Line Street Address":"STE 130N","City Name":"CHICAGO","State Code":"IL","Zip code":"606107457","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Sherri","Last Name":"Bornstein","NPI":"1679613319","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"990 HAMMOND DRIVE","Second Line Street Address":"SUITE 575","City Name":"ATLANTA","State Code":"GA","Zip code":"30328","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Christi","Last Name":"Larson","NPI":"1942513957","Specialty":"Oral Surgery","Optout Effective Date":"7\/28\/2010","Optout End Date":"7\/28\/2026","First Line Street Address":"820 S MARQUETTE RD","Second Line Street Address":"","City Name":"PRAIRIE DU CHIEN","State Code":"WI","Zip code":"538212214","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Hisham","Last Name":"Korraa","NPI":"1225151202","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"180 NEWPORT CENTER DR","Second Line Street Address":"STE 220","City Name":"NEWPORT BEACH","State Code":"CA","Zip code":"926600905","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Karen","Last Name":"Wiviott","NPI":"1821209982","Specialty":"Psychiatry","Optout Effective Date":"9\/1\/2019","Optout End Date":"9\/1\/2027","First Line Street Address":"30 N MICHIGAN AVE","Second Line Street Address":"STE 1201","City Name":"CHICAGO","State Code":"IL","Zip code":"606023723","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2025"},{"First Name":"William","Last Name":"Reich","NPI":"1669481867","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/1998","Optout End Date":"7\/1\/2026","First Line Street Address":"666 DUNDEE RD","Second Line Street Address":"STE 1702","City Name":"NORTHBROOK","State Code":"IL","Zip code":"600622738","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Sanford","Last Name":"Finkel","NPI":"1730245812","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2006","Optout End Date":"7\/1\/2026","First Line Street Address":"3127 GREENLEAF AVE","Second Line Street Address":"","City Name":"WILMETTE","State Code":"IL","Zip code":"600912080","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Stephen","Last Name":"Stein","NPI":"1194936732","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3000 CONNECTICUT AVENUE, NW","Second Line Street Address":"SUITE 327","City Name":"WASHINGTON","State Code":"DC","Zip code":"20008","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jacquelyn","Last Name":"Price","NPI":"1316115819","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2008","Optout End Date":"7\/1\/2026","First Line Street Address":"1086 ORNDORF DR","Second Line Street Address":"","City Name":"BRIGHTON","State Code":"MI","Zip code":"481162308","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Stephen","Last Name":"Baker","NPI":"1811014566","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"10800 GEORGETOWN PIKE","Second Line Street Address":"","City Name":"GREAT FALLS","State Code":"VA","Zip code":"22066","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Larry","Last Name":"Vanameyde","NPI":"1679592489","Specialty":"Oral Surgery","Optout Effective Date":"8\/16\/2010","Optout End Date":"8\/16\/2026","First Line Street Address":"51745 VAN DYKE AVE","Second Line Street Address":"","City Name":"SHELBY TOWNSHIP","State Code":"MI","Zip code":"483164451","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Sarah","Last Name":"Warren","NPI":"1710103502","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/7\/2017","Optout End Date":"6\/7\/2027","First Line Street Address":"480 N MCCLURG CT","Second Line Street Address":"APT 513","City Name":"CHICAGO","State Code":"IL","Zip code":"606115337","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2025"},{"First Name":"Stanley","Last Name":"Teitelbaum","NPI":"1306964861","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1 GRANGE COURT","Second Line Street Address":"","City Name":"TEANECK","State Code":"NJ","Zip code":"7666","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Phyllis","Last Name":"Clark","NPI":"1720128283","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1375E FILLMORE ST","Second Line Street Address":"","City Name":"COLORADO SPRINGS","State Code":"CO","Zip code":"809076457","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Martin","Last Name":"Dubravec","NPI":"1114013711","Specialty":"Allergy\/Immunology","Optout Effective Date":"9\/1\/2008","Optout End Date":"9\/1\/2026","First Line Street Address":"200 E MASON ST","Second Line Street Address":"","City Name":"CADILLAC","State Code":"MI","Zip code":"496011988","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Scott","Last Name":"Davis","NPI":"1124232871","Specialty":"Psychiatry","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"141 PIERCE RD","Second Line Street Address":"","City Name":"HIGHLAND PARK","State Code":"IL","Zip code":"600355326","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Norton","Last Name":"Fishman","NPI":"1447305826","Specialty":"Internal Medicine","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"15235 SHADY GROVE ROAD","Second Line Street Address":"#102","City Name":"ROCKVILLE","State Code":"MD","Zip code":"20850","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Steven","Last Name":"Bluestine","NPI":"1548383441","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"19W 34TH ST PH","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100013006","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Audrey","Last Name":"Walker","NPI":"1588702070","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3 WASHINGTON CIRCLE","Second Line Street Address":"NW 406","City Name":"WASHINGTON","State Code":"DC","Zip code":"20037","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Marie","Last Name":"Hellinger","NPI":"1477670818","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2019","Optout End Date":"10\/1\/2027","First Line Street Address":"910 17TH ST NW","Second Line Street Address":"STE 306","City Name":"WASHINGTON","State Code":"DC","Zip code":"200062604","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Karla","Last Name":"Bruning","NPI":"1053441121","Specialty":"Family Practice","Optout Effective Date":"7\/11\/2018","Optout End Date":"7\/11\/2026","First Line Street Address":"409 WEST FEAGAN ST","Second Line Street Address":"","City Name":"LIVINGSTON","State Code":"TX","Zip code":"77351","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"John","Last Name":"Perri","NPI":"1992870109","Specialty":"Psychiatry","Optout Effective Date":"8\/30\/2004","Optout End Date":"8\/30\/2026","First Line Street Address":"333 N MICHIGAN AVE","Second Line Street Address":"STE 2021","City Name":"CHICAGO","State Code":"IL","Zip code":"606014025","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Suzanne","Last Name":"Ricklin","NPI":"1922293414","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5570 STERRETT PLACE","Second Line Street Address":"SUITE 101","City Name":"COLUMBIA","State Code":"MD","Zip code":"21064","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Daniel","Last Name":"Witkowski","NPI":"1538256409","Specialty":"Dentist","Optout Effective Date":"8\/23\/2004","Optout End Date":"8\/23\/2026","First Line Street Address":"1612 N WISCONSIN ST","Second Line Street Address":"","City Name":"PORT WASHINGTON","State Code":"WI","Zip code":"530741042","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Robert","Last Name":"Katz","NPI":"1538251731","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2021","Optout End Date":"10\/1\/2027","First Line Street Address":"10 PLAZA ST E","Second Line Street Address":"APT 14C","City Name":"BROOKLYN","State Code":"NY","Zip code":"112384940","Eligible to Order and Refer":"N","Last updated":"11\/14\/2025"},{"First Name":"David","Last Name":"German","NPI":"1396811865","Specialty":"Psychiatry","Optout Effective Date":"8\/15\/2012","Optout End Date":"8\/15\/2026","First Line Street Address":"941 FRENCH ST NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"200014145","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Donald","Last Name":"Brown","NPI":"1710038831","Specialty":"Psychiatry","Optout Effective Date":"10\/10\/2016","Optout End Date":"10\/10\/2026","First Line Street Address":"156W 86TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100244002","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Isaac","Last Name":"Wurzburger","NPI":"1811079692","Specialty":"Family Practice","Optout Effective Date":"8\/19\/2012","Optout End Date":"8\/19\/2026","First Line Street Address":"8 DOVER TER","Second Line Street Address":"","City Name":"MONSEY","State Code":"NY","Zip code":"109522107","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Katharine","Last Name":"Porter","NPI":"1316115363","Specialty":"Psychiatry","Optout Effective Date":"7\/5\/2012","Optout End Date":"7\/5\/2026","First Line Street Address":"636 CHURCH ST STE 610","Second Line Street Address":"","City Name":"EVANSTON","State Code":"IL","Zip code":"602014586","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"John","Last Name":"Laubenthal","NPI":"1528064458","Specialty":"Psychiatry","Optout Effective Date":"6\/22\/2015","Optout End Date":"6\/22\/2027","First Line Street Address":"2226 THOMAS DR","Second Line Street Address":"","City Name":"PANAMA CITY BEACH","State Code":"FL","Zip code":"324085814","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2025"},{"First Name":"Rimi","Last Name":"Grewal","NPI":"1831201268","Specialty":"Psychiatry","Optout Effective Date":"8\/24\/2012","Optout End Date":"8\/24\/2026","First Line Street Address":"4500 COLLEGE BLVD","Second Line Street Address":"STE 304","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662111760","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Ellyn","Last Name":"Daniels","NPI":"1952524183","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/10\/2008","Optout End Date":"9\/10\/2026","First Line Street Address":"150 N MICHIGAN AVE STE 2145","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606017569","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Monique","Last Name":"Martin","NPI":"1639187081","Specialty":"Internal Medicine","Optout Effective Date":"5\/22\/2017","Optout End Date":"5\/22\/2027","First Line Street Address":"499 W BELLEVIEW AVE","Second Line Street Address":"","City Name":"ENGLEWOOD","State Code":"CO","Zip code":"801106701","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Misty","Last Name":"Wayman","NPI":"1285693408","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"1\/1\/2016","Optout End Date":"1\/1\/2028","First Line Street Address":"4140 W MEMORIAL RD","Second Line Street Address":"STE 500","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731208300","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Stanislaw","Last Name":"Burzynski","NPI":"1093836819","Specialty":"Internal Medicine","Optout Effective Date":"7\/30\/2012","Optout End Date":"7\/30\/2026","First Line Street Address":"9432 KATY FWY 200","Second Line Street Address":"","City Name":"HOUSTON","State Code":"TX","Zip code":"770556330","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Christopher","Last Name":"Pagnani","NPI":"1215172374","Specialty":"Psychiatry","Optout Effective Date":"10\/20\/2019","Optout End Date":"10\/20\/2027","First Line Street Address":"1528 WALNUT ST #1415","Second Line Street Address":"","City Name":"PHILADELPHIA","State Code":"PA","Zip code":"191023604","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Thomas","Last Name":"Moorcroft","NPI":"1598941585","Specialty":"Family Practice","Optout Effective Date":"6\/8\/2012","Optout End Date":"6\/8\/2026","First Line Street Address":"279 NEW BRITAIN RD","Second Line Street Address":"STE 6","City Name":"BERLIN","State Code":"CT","Zip code":"60373165","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Weinberger","NPI":"1831106228","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"25 MILTIADES AVE","Second Line Street Address":"","City Name":"RIVERSIDE","State Code":"CT","Zip code":"68782007","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lise","Last Name":"Osvold","NPI":"1033139456","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/2\/2012","Optout End Date":"9\/2\/2026","First Line Street Address":"3141 JOHN HUMPHRIES WYND 275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276127716","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Thomas","NPI":"1558311894","Specialty":"Dentist","Optout Effective Date":"5\/16\/2012","Optout End Date":"5\/16\/2026","First Line Street Address":"2808 VILLAGE WAY","Second Line Street Address":"","City Name":"TRENT WOODS","State Code":"NC","Zip code":"285627305","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Lia","Last Name":"Pate-Carolan","NPI":"1942246764","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3141 JOHN HUMPHRIES WYND 275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276127716","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Joseph","Last Name":"Hickey","NPI":"1629188628","Specialty":"Internal Medicine","Optout Effective Date":"9\/13\/2012","Optout End Date":"9\/13\/2026","First Line Street Address":"30 NEW ORLEANS RD","Second Line Street Address":"","City Name":"HILTON HEAD ISLAND","State Code":"SC","Zip code":"299284715","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Janet","Last Name":"Savia","NPI":"1124389184","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/29\/2012","Optout End Date":"7\/29\/2026","First Line Street Address":"5001S MIAMI BLVD 325","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277038526","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"James","Last Name":"Culberson","NPI":"1215085568","Specialty":"Oral Surgery","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"12104 SHERATON HILLS DR","Second Line Street Address":"","City Name":"FREDERICKSBURG","State Code":"VA","Zip code":"224076748","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Matthew","Last Name":"Bruffey","NPI":"1629245501","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/6\/2012","Optout End Date":"8\/6\/2026","First Line Street Address":"134 W PICCADILLY ST","Second Line Street Address":"","City Name":"WINCHESTER","State Code":"VA","Zip code":"226013916","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Katy","Last Name":"Sampson","NPI":"1922304211","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/6\/2012","Optout End Date":"8\/6\/2026","First Line Street Address":"5001S MIAMI BLVD 325","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277038526","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Katrina","Last Name":"Kuzyszyn-Jones","NPI":"1154506525","Specialty":"Clinical Psychologist","Optout Effective Date":"3\/6\/2017","Optout End Date":"3\/6\/2027","First Line Street Address":"5317 HIGHGATE DR 213","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277136622","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Katherine","Last Name":"Wu","NPI":"1861412678","Specialty":"Psychiatry","Optout Effective Date":"8\/10\/2012","Optout End Date":"8\/10\/2026","First Line Street Address":"4201 LAKE BOONE TRL","Second Line Street Address":"STE 201","City Name":"RALEIGH","State Code":"NC","Zip code":"276077511","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Roger","Last Name":"Perilstein","NPI":"1669495719","Specialty":"Psychiatry","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"100 EUROPA DR 260","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275172394","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Seth","Last Name":"Eichler","NPI":"1346349966","Specialty":"Psychiatry","Optout Effective Date":"9\/13\/2012","Optout End Date":"9\/13\/2026","First Line Street Address":"15 LINWOOD DR","Second Line Street Address":"","City Name":"ROSLYN","State Code":"NY","Zip code":"115762200","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Kenneth","Last Name":"Lippman","NPI":"1548289937","Specialty":"Internal Medicine","Optout Effective Date":"10\/13\/2017","Optout End Date":"10\/13\/2027","First Line Street Address":"18 SYLVAN RD S","Second Line Street Address":"","City Name":"WESTPORT","State Code":"CT","Zip code":"68804617","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Anthony","Last Name":"Werner","NPI":"1467572008","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/30\/2012","Optout End Date":"6\/30\/2026","First Line Street Address":"109 PARK WASHINGTON CT","Second Line Street Address":"","City Name":"FALLS CHURCH","State Code":"VA","Zip code":"22046","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Louis","Last Name":"Ross","NPI":"1790849677","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1312 18TH STREET NW","Second Line Street Address":"#302","City Name":"WASHINGTON","State Code":"DC","Zip code":"20036","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Larry","Last Name":"Berger","NPI":"1104803568","Specialty":"Psychiatry","Optout Effective Date":"7\/20\/2010","Optout End Date":"7\/20\/2026","First Line Street Address":"7525 MITCHELL RD","Second Line Street Address":"STE 200","City Name":"EDEN PRAIRIE","State Code":"MN","Zip code":"553441957","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kerry","Last Name":"Fox","NPI":"1215116462","Specialty":"Psychiatry","Optout Effective Date":"7\/22\/2016","Optout End Date":"7\/22\/2026","First Line Street Address":"11010 PRAIRIE LAKES DR","Second Line Street Address":"STE 115","City Name":"EDEN PRAIRIE","State Code":"MN","Zip code":"553443802","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"John","Last Name":"Friel","NPI":"1629143516","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/1\/2016","Optout End Date":"8\/1\/2026","First Line Street Address":"1409 WILLOW ST","Second Line Street Address":"Ste 320","City Name":"MINNEAPOLIS","State Code":"MN","Zip code":"554032269","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Amy","Last Name":"Quinn","NPI":"1174709034","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/2\/2012","Optout End Date":"9\/2\/2026","First Line Street Address":"3141 JOHN HUMPHRIES WYND 275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276127716","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Edward","Last Name":"Beiter","NPI":"1871502013","Specialty":"Optometry","Optout Effective Date":"10\/1\/2017","Optout End Date":"10\/1\/2027","First Line Street Address":"4490 GALLIA ST","Second Line Street Address":"","City Name":"NEW BOSTON","State Code":"OH","Zip code":"456625553","Eligible to Order and Refer":"N","Last updated":"11\/14\/2025"},{"First Name":"Marcia","Last Name":"Herman","NPI":"1730205527","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2017","Optout End Date":"10\/1\/2027","First Line Street Address":"3610 SACRAMENTO ST","Second Line Street Address":"","City Name":"SAN FRANCISCO","State Code":"CA","Zip code":"941181734","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Jeremy","Last Name":"Miner","NPI":"1538334479","Specialty":"Oral Surgery","Optout Effective Date":"5\/7\/2020","Optout End Date":"5\/7\/2026","First Line Street Address":"8671 S QUEBEC ST","Second Line Street Address":"SUITE 100","City Name":"HIGHLANDS RANCH","State Code":"CO","Zip code":"80130","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2024"},{"First Name":"Thomas","Last Name":"Mccutchen","NPI":"1366794109","Specialty":"General Surgery","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"2214 FERNGLEN PL","Second Line Street Address":"","City Name":"CARY","State Code":"NC","Zip code":"275113890","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Robert","Last Name":"Calcaterra","NPI":"1740473511","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"25 GLEN HEAD RD","Second Line Street Address":"","City Name":"GLEN HEAD","State Code":"NY","Zip code":"115451456","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Holzhauer","NPI":"1659647352","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/30\/2012","Optout End Date":"7\/30\/2026","First Line Street Address":"1740 RIDGE AVE","Second Line Street Address":"STE 201","City Name":"EVANSTON","State Code":"IL","Zip code":"602015909","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Sandra","Last Name":"Amoils","NPI":"1265495055","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6400 E GALBRAITH RD","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"452362268","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Steven","Last Name":"Amoils","NPI":"1821197310","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6400 E GALBRAITH RD","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"452362268","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Woolford","NPI":"1649233065","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6400 E GALBRAITH ROAD","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"452362268","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Ralph","Last Name":"Waldo","NPI":"1760405963","Specialty":"Psychiatry","Optout Effective Date":"5\/11\/2017","Optout End Date":"5\/11\/2027","First Line Street Address":"11350 N MERIDIAN ST","Second Line Street Address":"STE 220","City Name":"CARMEL","State Code":"IN","Zip code":"460324528","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Thad","Last Name":"Ryals","NPI":"1427147636","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"2305 ARLINGTON AVENUE","Second Line Street Address":"","City Name":"BIRMINGHAM","State Code":"AL","Zip code":"35205","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Scott","Last Name":"Nolen","NPI":"1659443919","Specialty":"Oral Surgery","Optout Effective Date":"9\/1\/2010","Optout End Date":"9\/1\/2026","First Line Street Address":"4585 WASHINGTON ST","Second Line Street Address":"STE B4","City Name":"FLORISSANT","State Code":"MO","Zip code":"630335858","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Nicholas","Last Name":"Hume","NPI":"1699766568","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2018","Optout End Date":"7\/1\/2026","First Line Street Address":"693 MOUNTAIN DRIVE N. E.","Second Line Street Address":"","City Name":"ATLANTA","State Code":"GA","Zip code":"30342","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Joseph","Last Name":"Parisi","NPI":"1225001704","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/10\/2012","Optout End Date":"8\/10\/2026","First Line Street Address":"501S SHARON AMITY RD 501","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282112896","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Leland","Last Name":"Duddleston","NPI":"1912059833","Specialty":"General Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1000 RIVERBURCH PKWY","Second Line Street Address":"","City Name":"DALTON","State Code":"GA","Zip code":"307218630","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Frances","Last Name":"Givelber","NPI":"1720138423","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"81 CROWNINSHIELD RD","Second Line Street Address":"","City Name":"BROOKLINE","State Code":"MA","Zip code":"24466777","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lionel","Last Name":"Bulford","NPI":"1033149018","Specialty":"Oral Surgery","Optout Effective Date":"8\/27\/2012","Optout End Date":"8\/27\/2026","First Line Street Address":"4 CARE LN","Second Line Street Address":"","City Name":"SARATOGA SPRINGS","State Code":"NY","Zip code":"128668624","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Lisa","Last Name":"Smith","NPI":"1396031431","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"648 BEACON ST","Second Line Street Address":"","City Name":"BOSTON","State Code":"MA","Zip code":"22152013","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Domenic","Last Name":"Albanese","NPI":"1578650420","Specialty":"Oral Surgery","Optout Effective Date":"8\/21\/2012","Optout End Date":"8\/21\/2026","First Line Street Address":"65 FREMONT ST","Second Line Street Address":"OFC 2A","City Name":"MARLBOROUGH","State Code":"MA","Zip code":"17521271","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Susan","Last Name":"Ciampa-Albanese","NPI":"1013004993","Specialty":"Dentist","Optout Effective Date":"8\/21\/2012","Optout End Date":"8\/21\/2026","First Line Street Address":"65 FREMONT ST","Second Line Street Address":"SUITE 2A","City Name":"MARLBOROUGH","State Code":"MA","Zip code":"1752","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Marie","Last Name":"Macomber","NPI":"1033230859","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"866 BEACON ST","Second Line Street Address":"","City Name":"NEWTON","State Code":"MA","Zip code":"24591801","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Anne","Last Name":"Bisek","NPI":"1285808915","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/9\/2022","Optout End Date":"9\/9\/2026","First Line Street Address":"3602 THORNTON AVE","Second Line Street Address":"# 54","City Name":"FREMONT","State Code":"CA","Zip code":"945367400","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Tabitha","Last Name":"Brandt-Tiven","NPI":"1871635011","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1723 UTOPIA PKWY","Second Line Street Address":"","City Name":"WHITESTONE","State Code":"NY","Zip code":"113573347","Eligible to Order and Refer":"N","Last updated":"12\/15\/2024"},{"First Name":"Mark","Last Name":"Hyman","NPI":"1154442309","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"55 PITTSFIELD RD","Second Line Street Address":"STE 9","City Name":"LENOX","State Code":"MA","Zip code":"12402185","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Janice","Last Name":"Collins","NPI":"1700821030","Specialty":"Certified Nurse Midwife (Cnm)","Optout Effective Date":"10\/1\/2016","Optout End Date":"10\/1\/2026","First Line Street Address":"11975 Morris Rd","Second Line Street Address":"Suite 300","City Name":"Alpharetta","State Code":"GA","Zip code":"30005","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Kerianne","Last Name":"Anastasia","NPI":"1306046024","Specialty":"Nurse Practitioner","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5780 Peachtree Dunwoody Rd","Second Line Street Address":"SUITE 300","City Name":"ATLANTA","State Code":"GA","Zip code":"30342","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Cheryl","Last Name":"Yanuck","NPI":"1033197447","Specialty":"Psychiatry","Optout Effective Date":"9\/17\/2012","Optout End Date":"9\/17\/2026","First Line Street Address":"329 PROVIDENCE RD","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275142233","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Michael","Last Name":"Hueneke","NPI":"1548392673","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"8\/24\/2017","Optout End Date":"8\/24\/2027","First Line Street Address":"1914 CHARLOTTE AVE","Second Line Street Address":"SUITE 101","City Name":"NASHVILLE","State Code":"TN","Zip code":"37203","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Cynthia","Last Name":"Libert","NPI":"1891776894","Specialty":"Family Practice","Optout Effective Date":"4\/1\/2016","Optout End Date":"4\/1\/2026","First Line Street Address":"15 EARNEST DR","Second Line Street Address":"STE A","City Name":"BLAIRSVILLE","State Code":"GA","Zip code":"305128627","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Carol","Last Name":"Kranig","NPI":"1598942070","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"3133 MAPLE DR NE","Second Line Street Address":"STE 210","City Name":"ATLANTA","State Code":"GA","Zip code":"303052537","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Harold","Last Name":"Kent","NPI":"1942300140","Specialty":"General Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3226 F HAMPTON AVENUE","Second Line Street Address":"","City Name":"BRUNSWICK","State Code":"GA","Zip code":"31520","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Richard","Last Name":"Sollazzo","NPI":"1508077348","Specialty":"Hematology\/Oncology","Optout Effective Date":"3\/21\/2016","Optout End Date":"3\/21\/2026","First Line Street Address":"38 LANDING AVE","Second Line Street Address":"","City Name":"SMITHTOWN","State Code":"NY","Zip code":"117872711","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Cathy","Last Name":"Canepa","NPI":"1891816096","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6809 FAIRVIEW RD","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282103336","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lauren","Last Name":"Caruso","NPI":"1487631875","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"215 E 79TH ST","Second Line Street Address":"APT 8A","City Name":"NEW YORK","State Code":"NY","Zip code":"100750851","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Chad","Last Name":"Yenchesky","NPI":"1063514842","Specialty":"Oral Surgery","Optout Effective Date":"8\/28\/2012","Optout End Date":"8\/28\/2026","First Line Street Address":"2310 OAK RIDGE CIR","Second Line Street Address":"","City Name":"DE PERE","State Code":"WI","Zip code":"541159207","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Jane","Last Name":"Martin","NPI":"1457480766","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"108 E 66TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100656543","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lawrence","Last Name":"Giustra","NPI":"1124202387","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1945 CLIFF VALLEY WAY NE","Second Line Street Address":"STE 202","City Name":"ATLANTA","State Code":"GA","Zip code":"303292436","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Andrew","Last Name":"Chang","NPI":"1790827152","Specialty":"Oral Surgery","Optout Effective Date":"9\/4\/2012","Optout End Date":"9\/4\/2026","First Line Street Address":"9855 ERMA RD","Second Line Street Address":"STE 100","City Name":"SAN DIEGO","State Code":"CA","Zip code":"921311007","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Aaron","Last Name":"Rabin","NPI":"1093710949","Specialty":"Neurology","Optout Effective Date":"9\/1\/2006","Optout End Date":"9\/1\/2026","First Line Street Address":"100 E PALISADE AVE","Second Line Street Address":"","City Name":"ENGLEWOOD Cliffs","State Code":"NJ","Zip code":"7632","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Nancy","Last Name":"Wheeler","NPI":"1083620181","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"133 DEFENSE HWY","Second Line Street Address":"SUITE 114","City Name":"ANNAPOLIS","State Code":"MD","Zip code":"21401","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Patricia","Last Name":"Siraganian","NPI":"1164544433","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"5480 WISCONSIN AVE #216","Second Line Street Address":"","City Name":"CHEVY CHASE","State Code":"MD","Zip code":"20815","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Bernard","Last Name":"Filner","NPI":"1902914534","Specialty":"Rheumatology","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"14955 SHADY GROVE RD #260","Second Line Street Address":"","City Name":"ROCKVILLE","State Code":"MD","Zip code":"20850","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Wilson","NPI":"1154482297","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"310 EISENHOWER DRIVE","Second Line Street Address":"SUITE 1","City Name":"SAVANNAH","State Code":"GA","Zip code":"31406","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"James","Last Name":"Carter","NPI":"1962568279","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"2416 CONGRESS PARKWAY","Second Line Street Address":"","City Name":"ATHENS","State Code":"TN","Zip code":"37371","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Hamilton","NPI":"1831264217","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"2250 D ST NE","Second Line Street Address":"","City Name":"SALEM","State Code":"OR","Zip code":"973012768","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Austin","Last Name":"Smith","NPI":"1295840825","Specialty":"Oral Surgery","Optout Effective Date":"2\/13\/2017","Optout End Date":"2\/13\/2027","First Line Street Address":"5120 CORPORATE CENTER CT SE","Second Line Street Address":"","City Name":"LACEY","State Code":"WA","Zip code":"985035957","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Jeremy","Last Name":"Santacroce","NPI":"1215152632","Specialty":"Nurse Practitioner","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"323 BOSTON POST RD","Second Line Street Address":"STE 4C","City Name":"SUDBURY","State Code":"MA","Zip code":"17763022","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Timothy","Last Name":"Kelly","NPI":"1003026261","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"23 COUNTY ROAD 418","Second Line Street Address":"","City Name":"OXFORD","State Code":"MS","Zip code":"38655","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Ceana","Last Name":"Nezhat","NPI":"1386720555","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"5555 PEACHTREE DUNWOODY ROAD","Second Line Street Address":"SUITE 276","City Name":"ATLANTA","State Code":"GA","Zip code":"30342","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Frank","Last Name":"Matalone","NPI":"1073739249","Specialty":"Integrative Medicine","Optout Effective Date":"4\/11\/2018","Optout End Date":"4\/11\/2026","First Line Street Address":"2296 HENDERSON MILL RD","Second Line Street Address":"STE 405","City Name":"ATLANTA","State Code":"GA","Zip code":"30345","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Viktor","Last Name":"Bouquette","NPI":"1073730552","Specialty":"General Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"4646 NORTH SHALLOWFORD ROAD","Second Line Street Address":"","City Name":"ATLANTA","State Code":"GA","Zip code":"30338","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Raymond","Last Name":"Ke","NPI":"1790880896","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"80 HUMPHREYS CENTER","Second Line Street Address":"SUITE 307","City Name":"MEMPHIS","State Code":"TN","Zip code":"381202363","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Paul","Last Name":"Brezina","NPI":"1710186473","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"80 HUMPHREYS CENTER","Second Line Street Address":"SUITE 307","City Name":"MEMPHIS","State Code":"TN","Zip code":"38120","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"David","Last Name":"Myers","NPI":"1477620953","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2023","Optout End Date":"10\/1\/2027","First Line Street Address":"2112 11TH AVE S","Second Line Street Address":"STE 325","City Name":"BIRMINGHAM","State Code":"AL","Zip code":"352052845","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Mitchell","Last Name":"Banks","NPI":"1073556882","Specialty":"Psychiatry","Optout Effective Date":"7\/13\/2016","Optout End Date":"7\/13\/2026","First Line Street Address":"555 BROADHOLLOW RD","Second Line Street Address":"STE 107","City Name":"MELVILLE","State Code":"NY","Zip code":"117475001","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Clay","Last Name":"Thames","NPI":"1457577686","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"325 SOUTH 13TH AVE","Second Line Street Address":"","City Name":"LAUREL","State Code":"MS","Zip code":"39440","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Mary","Last Name":"Haigler","NPI":"1982628467","Specialty":"Dentist","Optout Effective Date":"5\/8\/2019","Optout End Date":"5\/8\/2027","First Line Street Address":"280 ROCKY SLOPE RD","Second Line Street Address":"","City Name":"GREENVILLE","State Code":"SC","Zip code":"296073908","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"William","Last Name":"Oven","NPI":"1790927952","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/23\/2017","Optout End Date":"1\/23\/2027","First Line Street Address":"2801 BUFORD HWY","Second Line Street Address":"SUITE 260","City Name":"ATLANTA","State Code":"GA","Zip code":"30329","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Lynn","Last Name":"Barton","NPI":"1194867606","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6559 JOCELYN HOLLOW RD","Second Line Street Address":"","City Name":"NASHVILLE","State Code":"TN","Zip code":"372053950","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"David","Last Name":"Barton","NPI":"1588706006","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"4525 HARDING ROAD","Second Line Street Address":"SUITE 200","City Name":"NASHVILLE","State Code":"TN","Zip code":"37205","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"David","Last Name":"Lipsig","NPI":"1841409182","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"12 PIEDMONT CENTER","Second Line Street Address":"SUITE410","City Name":"ATLANTA","State Code":"GA","Zip code":"30305","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Lauren","Last Name":"Braswell","NPI":"1033309828","Specialty":"Certified Nurse Midwife (Cnm)","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5780 Peachtree Dunwoody Rd","Second Line Street Address":"SUITE 300","City Name":"ATLANTA","State Code":"GA","Zip code":"30342","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Timothy","Last Name":"Jennings","NPI":"1316002652","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"6148 LEE HWY","Second Line Street Address":"SUITE 200","City Name":"CHATTANOOGA","State Code":"TN","Zip code":"37421","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Michael","Last Name":"Fishman","NPI":"1508892431","Specialty":"General Practice","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"5448 YORKTOWNE DRIVE","Second Line Street Address":"","City Name":"ATLANTA","State Code":"GA","Zip code":"30349","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Clement","Last Name":"Hsiao","NPI":"1477512085","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"3180 NORTH POINT PKWY","Second Line Street Address":"STE 205","City Name":"ALPHARETTA","State Code":"GA","Zip code":"30005","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Barbara","Last Name":"Da Vanzo","NPI":"1881876175","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"143 FOLLINS LANE","Second Line Street Address":"","City Name":"ST SIMONS ISLAND","State Code":"GA","Zip code":"31522","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Frank","Last Name":"Scarbrough","NPI":"1821159963","Specialty":"Oral Surgery","Optout Effective Date":"8\/18\/2016","Optout End Date":"8\/18\/2026","First Line Street Address":"310 EISENHOWER DRIVE","Second Line Street Address":"BUILDING 1","City Name":"SAVANNAH","State Code":"GA","Zip code":"31406","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Matthew","Last Name":"Norman","NPI":"1285843516","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3495 Piedmont Rd","Second Line Street Address":"12 PIEDMONT CENTER, STE 410","City Name":"ATLANTA","State Code":"GA","Zip code":"30305","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Rothschild","NPI":"1831132455","Specialty":"Otolaryngology","Optout Effective Date":"9\/28\/2015","Optout End Date":"9\/28\/2027","First Line Street Address":"1175 PARK AVENUE","Second Line Street Address":"1A","City Name":"NEW YORK","State Code":"NY","Zip code":"10128","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Jacqueline","Last Name":"Jones","NPI":"1073602215","Specialty":"Otolaryngology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1175 PARK AVE","Second Line Street Address":"STE 1A","City Name":"NEW YORK","State Code":"NY","Zip code":"10128","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jill","Last Name":"Moorcroft","NPI":"1336325596","Specialty":"Family Practice","Optout Effective Date":"9\/1\/2011","Optout End Date":"9\/1\/2027","First Line Street Address":"279 NEW BRITAIN RD","Second Line Street Address":"#6","City Name":"BERLIN","State Code":"CT","Zip code":"60393165","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2025"},{"First Name":"Saadia","Last Name":"Alizai-Cowan","NPI":"1790771541","Specialty":"Psychiatry","Optout Effective Date":"7\/31\/2012","Optout End Date":"7\/31\/2026","First Line Street Address":"5415 W CEDAR LN","Second Line Street Address":"STE 208B","City Name":"BETHESDA","State Code":"MD","Zip code":"208141523","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Margo","Last Name":"Aron","NPI":"1033289046","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/5\/2024","Optout End Date":"4\/5\/2026","First Line Street Address":"5328 43RD ST NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"200152008","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Mark","Last Name":"Bernstein","NPI":"1487756201","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"593 BETHLEHEM PIKE","Second Line Street Address":"SUITE 4B","City Name":"MONTGOMERYVILLE","State Code":"PA","Zip code":"18936","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Harry","Last Name":"Collins","NPI":"1770860819","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"8\/31\/2018","Optout End Date":"8\/31\/2026","First Line Street Address":"200 BLUE MOON CROSSING","Second Line Street Address":"STE 102","City Name":"POOLER","State Code":"GA","Zip code":"31322","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Harry","Last Name":"Baldinger","NPI":"1063502979","Specialty":"Podiatry","Optout Effective Date":"3\/29\/2016","Optout End Date":"3\/29\/2026","First Line Street Address":"7 ANJOU LANE","Second Line Street Address":"","City Name":"MONSEY","State Code":"NY","Zip code":"109521703","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Ira","Last Name":"Chernoff","NPI":"1811925456","Specialty":"Orthopedic Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"2500 NESCONSET HWY","Second Line Street Address":"BLDG 9","City Name":"STONY BROOK","State Code":"NY","Zip code":"117902553","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Tammy","Last Name":"Goldberg","NPI":"1871763631","Specialty":"Clinical Social Worker","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"5570 STERRETT PLACE","Second Line Street Address":"STE 101","City Name":"COLUMBIA","State Code":"MD","Zip code":"21044","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Hope","Last Name":"Damon","NPI":"1134246358","Specialty":"Registered Dietitian Or Nutrition Professional","Optout Effective Date":"4\/10\/2018","Optout End Date":"4\/10\/2026","First Line Street Address":"276 NEWPORT RD","Second Line Street Address":"STE 202","City Name":"NEW LONDON","State Code":"NH","Zip code":"32575469","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Michael","Last Name":"Gallops","NPI":"1306956966","Specialty":"Family Practice","Optout Effective Date":"3\/28\/2012","Optout End Date":"3\/28\/2026","First Line Street Address":"5515 BRYSON DRIVE","Second Line Street Address":"SUITE 501","City Name":"NAPLES","State Code":"FL","Zip code":"341090923","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Robert","Last Name":"Goldstein","NPI":"1194807891","Specialty":"Psychiatry","Optout Effective Date":"10\/11\/2002","Optout End Date":"10\/11\/2026","First Line Street Address":"10 PARROTT MILL RD","Second Line Street Address":"Suite B","City Name":"CHATHAM","State Code":"NJ","Zip code":"79282744","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Donna","Last Name":"Lewinter","NPI":"1053493767","Specialty":"Psychiatry","Optout Effective Date":"10\/10\/2002","Optout End Date":"10\/10\/2026","First Line Street Address":"10 PARROTT MILL ROAD","Second Line Street Address":"SUITE B","City Name":"CHATHAM","State Code":"NJ","Zip code":"79282744","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Gary","Last Name":"Flaxenburg","NPI":"1407940323","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"385 LANCASTER AVE","Second Line Street Address":"suite 207","City Name":"HAVERFORD","State Code":"PA","Zip code":"190411576","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Brendan","Last Name":"Greer","NPI":"1831105535","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2004","Optout End Date":"10\/1\/2026","First Line Street Address":"1 BALA AVE","Second Line Street Address":"STE 228","City Name":"BALA CYNWYD","State Code":"PA","Zip code":"190043207","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Baylin","NPI":"1982808267","Specialty":"Oral Surgery","Optout Effective Date":"6\/1\/2004","Optout End Date":"6\/1\/2026","First Line Street Address":"3655A OLD COURT RD","Second Line Street Address":"SUITE 8","City Name":"BALTIMORE","State Code":"MD","Zip code":"21208","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Anne","Last Name":"Walch","NPI":"1124047352","Specialty":"Physician Assistant","Optout Effective Date":"8\/28\/2012","Optout End Date":"8\/28\/2026","First Line Street Address":"153 S LEXINGTON AVE","Second Line Street Address":"STE 3","City Name":"ASHEVILLE","State Code":"NC","Zip code":"28801","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Barton","Last Name":"Kraff","NPI":"1710025036","Specialty":"Psychiatry","Optout Effective Date":"8\/1\/2008","Optout End Date":"8\/1\/2026","First Line Street Address":"1725 I STREET NW","Second Line Street Address":"#300","City Name":"WASHINGTON","State Code":"DC","Zip code":"200062423","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Emily","Last Name":"Steinberg Fadem","NPI":"1447418835","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2016","Optout End Date":"10\/1\/2026","First Line Street Address":"14 E 75TH ST","Second Line Street Address":"STE 1A","City Name":"NEW YORK","State Code":"NY","Zip code":"100212625","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Edgar","Last Name":"Levenson","NPI":"1609079193","Specialty":"Psychiatry","Optout Effective Date":"9\/7\/2012","Optout End Date":"9\/7\/2026","First Line Street Address":"330 W 58TH ST","Second Line Street Address":"STE 204","City Name":"NEW YORK","State Code":"NY","Zip code":"100191822","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Ludwig","Last Name":"Eglseder","NPI":"1558340646","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"503 CYNWOOD DR","Second Line Street Address":"","City Name":"EASTON","State Code":"MD","Zip code":"216013869","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Shore","NPI":"1932100641","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1500 N KINGS HIGHWAY","Second Line Street Address":"SUITE 106","City Name":"CHERRY HILL","State Code":"NJ","Zip code":"8034","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Donny","Last Name":"Tran","NPI":"1841413903","Specialty":"Oral Surgery","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"23866 SE KENT KANGLEY RD","Second Line Street Address":"","City Name":"MAPLE VALLEY","State Code":"WA","Zip code":"980386848","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Alexander","Last Name":"Feller","NPI":"1255464228","Specialty":"Psychiatry","Optout Effective Date":"10\/22\/2012","Optout End Date":"10\/22\/2026","First Line Street Address":"590 W END AVE","Second Line Street Address":"STE 1D","City Name":"NEW YORK","State Code":"NY","Zip code":"100241749","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Steven","Last Name":"Bock","NPI":"1649219858","Specialty":"Family Practice","Optout Effective Date":"11\/7\/2016","Optout End Date":"11\/7\/2026","First Line Street Address":"187 E MARKET ST","Second Line Street Address":"","City Name":"RHINEBECK","State Code":"NY","Zip code":"125721727","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Ann","Last Name":"Dobbertin","NPI":"1982746038","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3320 STANFORD ST","Second Line Street Address":"","City Name":"HYATTSVILLE","State Code":"MD","Zip code":"20783","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Runa","Last Name":"Basu","NPI":"1245471689","Specialty":"Osteopathic Manipulative Medicine","Optout Effective Date":"2\/5\/2019","Optout End Date":"2\/5\/2027","First Line Street Address":"1524 FAIRVIEW ST","Second Line Street Address":"","City Name":"BERKELEY","State Code":"CA","Zip code":"947032318","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"David","Last Name":"Abel","NPI":"1881637163","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2016","Optout End Date":"7\/1\/2026","First Line Street Address":"1638 AMITY ROAD","Second Line Street Address":"","City Name":"Jenkintown","State Code":"PA","Zip code":"19046","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Dawn","Last Name":"Brown","NPI":"1518109248","Specialty":"Osteopathic Manipulative Medicine","Optout Effective Date":"3\/12\/2019","Optout End Date":"3\/12\/2027","First Line Street Address":"1524 FAIRVIEW ST","Second Line Street Address":"","City Name":"BERKELEY","State Code":"CA","Zip code":"947032318","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Lee","Last Name":"Suckno","NPI":"1316947419","Specialty":"Psychiatry","Optout Effective Date":"11\/1\/2012","Optout End Date":"11\/1\/2026","First Line Street Address":"170 EAST MAIN STREET","Second Line Street Address":"SUITE 202","City Name":"ROCKAWAY","State Code":"NJ","Zip code":"7866","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Hiran","Last Name":"Fernando","NPI":"1164634135","Specialty":"Oral Surgery","Optout Effective Date":"9\/14\/2012","Optout End Date":"9\/14\/2026","First Line Street Address":"4585 WASHINGTON ST","Second Line Street Address":"STE B4","City Name":"FLORISSANT","State Code":"MO","Zip code":"630335858","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Robert","Last Name":"Weiss","NPI":"1083777403","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"191 PRESIDENTIAL BLVD","Second Line Street Address":"SUITE C135","City Name":"BALA CYNWYD","State Code":"PA","Zip code":"19004","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Dennis","Last Name":"Hannon","NPI":"1053314815","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3300 OLNEY SANDY SPRING ROAD","Second Line Street Address":"# 330","City Name":"OLNEY","State Code":"MD","Zip code":"20832","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lenya","Last Name":"Reese","NPI":"1497928915","Specialty":"Physician Assistant","Optout Effective Date":"12\/10\/2019","Optout End Date":"12\/10\/2027","First Line Street Address":"1494 S ST FRANCIS DR","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875050000","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Stacia","Last Name":"Daniel","NPI":"1104849751","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"18838 STONE OAK PKWY","Second Line Street Address":"STE 103","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782584179","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kristin","Last Name":"Vankonynenburg","NPI":"1801878434","Specialty":"Family Practice","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"600 S AIRPORT RD","Second Line Street Address":"UNIT AG","City Name":"LONGMONT","State Code":"CO","Zip code":"805036474","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Katharine","Last Name":"Holaday","NPI":"1699837336","Specialty":"Clinical Social Worker","Optout Effective Date":"8\/23\/2012","Optout End Date":"8\/23\/2026","First Line Street Address":"309 W WALNUT ST","Second Line Street Address":"","City Name":"KALAMAZOO","State Code":"MI","Zip code":"490075176","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Alexander","Last Name":"Grabavoy","NPI":"1124246756","Specialty":"Oral Surgery","Optout Effective Date":"9\/29\/2010","Optout End Date":"9\/29\/2026","First Line Street Address":"1007 W JEFFERSON ST","Second Line Street Address":"","City Name":"SHOREWOOD","State Code":"IL","Zip code":"604049777","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lynda","Last Name":"Sherland","NPI":"1700963105","Specialty":"Nurse Practitioner","Optout Effective Date":"8\/2\/2016","Optout End Date":"8\/2\/2026","First Line Street Address":"13110 VISTA DEL MUNDO","Second Line Street Address":"","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782162200","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Mark","Last Name":"Hutten","NPI":"1235289893","Specialty":"Oral Surgery","Optout Effective Date":"9\/15\/2010","Optout End Date":"9\/15\/2026","First Line Street Address":"201 E HURON ST GALTER 2 246","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606113197","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"S Patrick","Last Name":"Maraka","NPI":"1972764553","Specialty":"Oral Surgery","Optout Effective Date":"8\/27\/2012","Optout End Date":"8\/27\/2026","First Line Street Address":"1711 SHAWANO AVE","Second Line Street Address":"","City Name":"GREEN BAY","State Code":"WI","Zip code":"543033215","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Stuart","Last Name":"Dessner","NPI":"1801958673","Specialty":"Maxillofacial Surgery","Optout Effective Date":"8\/31\/2012","Optout End Date":"8\/31\/2026","First Line Street Address":"3438 N OLD ARLINGTON HEIGHTS RD","Second Line Street Address":"","City Name":"ARLINGTON HEIGHTS","State Code":"IL","Zip code":"600041552","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Lois","Last Name":"Propst","NPI":"1134218118","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"9310 SW 18TH PL","Second Line Street Address":"","City Name":"PORTLAND","State Code":"OR","Zip code":"972196456","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Mark","Last Name":"Tournell","NPI":"1275520199","Specialty":"Oral Surgery","Optout Effective Date":"9\/7\/2004","Optout End Date":"9\/7\/2026","First Line Street Address":"5010 CASCADE RD SE","Second Line Street Address":"","City Name":"GRAND RAPIDS","State Code":"MI","Zip code":"495463725","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Joel","Last Name":"Warshaw","NPI":"1841282183","Specialty":"Internal Medicine","Optout Effective Date":"4\/6\/2018","Optout End Date":"4\/6\/2026","First Line Street Address":"2000 OXFORD DR","Second Line Street Address":"STE 440","City Name":"BETHEL PARK","State Code":"PA","Zip code":"151021841","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Virginia","Last Name":"Savely","NPI":"1558429324","Specialty":"Nurse Practitioner","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1629 K ST NW","Second Line Street Address":"STE 300","City Name":"WASHINGTON","State Code":"DC","Zip code":"200061631","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Doris","Last Name":"Kafka","NPI":"1568761039","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/1\/2018","Optout End Date":"4\/1\/2026","First Line Street Address":"4545 CONNECTICUT AVE NW","Second Line Street Address":"STE 306","City Name":"WASHINGTON","State Code":"DC","Zip code":"200086016","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Kelly","Last Name":"Hearn","NPI":"1811156748","Specialty":"Dentist","Optout Effective Date":"8\/26\/2025","Optout End Date":"8\/26\/2027","First Line Street Address":"1220 E NAPIER AVE","Second Line Street Address":"","City Name":"BENTON HARBOR","State Code":"MI","Zip code":"490223900","Eligible to Order and Refer":"N","Last updated":"10\/15\/2025"},{"First Name":"Johnny","Last Name":"Hernandez","NPI":"1073636130","Specialty":"Oral Surgery","Optout Effective Date":"12\/31\/2014","Optout End Date":"12\/31\/2026","First Line Street Address":"10 HEARTLAND DR STE  A","Second Line Street Address":"","City Name":"BLOOMINGTON","State Code":"IL","Zip code":"617047775","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Nicolas","Last Name":"Abujamra","NPI":"1720123201","Specialty":"Prosthodontic Dentistry","Optout Effective Date":"10\/31\/2016","Optout End Date":"10\/31\/2026","First Line Street Address":"2581 DEVELOPMENT DR STE 102","Second Line Street Address":"","City Name":"GREEN BAY","State Code":"WI","Zip code":"543114248","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Hillery","Last Name":"Bosworth","NPI":"1548337207","Specialty":"Psychiatry","Optout Effective Date":"1\/25\/2016","Optout End Date":"1\/25\/2028","First Line Street Address":"80 FIFTH AVE","Second Line Street Address":"#1001","City Name":"NEW YORK","State Code":"NY","Zip code":"100118017","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Benita","Last Name":"Phillips","NPI":"1740276534","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"501 LONG HOLLOW PIKE","Second Line Street Address":"","City Name":"GOODLETTSVILLE","State Code":"TN","Zip code":"370723448","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Robert","Last Name":"Waters","NPI":"1194948133","Specialty":"General Practice","Optout Effective Date":"1\/26\/2015","Optout End Date":"1\/26\/2027","First Line Street Address":"320 RACE ST","Second Line Street Address":"","City Name":"WISCONSIN DELLS","State Code":"WI","Zip code":"539651822","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Carmen","Last Name":"Natali-Agostini","NPI":"1629062591","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"900 SOUTH AVE","Second Line Street Address":"# 44","City Name":"STATEN ISLAND","State Code":"NY","Zip code":"103143418","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Susan","Last Name":"Younger","NPI":"1598971830","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"576 HIGHLAND COLONY PKWY","Second Line Street Address":"SUITE 100","City Name":"RIDGELAND","State Code":"MS","Zip code":"39157","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Fawaz","Last Name":"Abdrabbo","NPI":"1760466551","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"576 HIGHLAND COLONY PKWY","Second Line Street Address":"SUITE 100","City Name":"RIDGELAND","State Code":"MS","Zip code":"39157","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Carol","Last Name":"Hess","NPI":"1558567271","Specialty":"Nurse Practitioner","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"5780 Peachtree DNWDY RD","Second Line Street Address":"SUITE 300","City Name":"ATLANTA","State Code":"GA","Zip code":"30342","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Thomas","Last Name":"Romano","NPI":"1902136443","Specialty":"Rheumatology","Optout Effective Date":"9\/18\/2012","Optout End Date":"9\/18\/2026","First Line Street Address":"205 N 5TH STREET","Second Line Street Address":"","City Name":"MARTINS FERRY","State Code":"OH","Zip code":"439351530","Eligible to Order and Refer":"N","Last updated":"12\/15\/2024"},{"First Name":"Anette","Last Name":"Scott","NPI":"1245497064","Specialty":"Psychiatry","Optout Effective Date":"8\/16\/2012","Optout End Date":"8\/16\/2026","First Line Street Address":"1202 E SONTERRA BLVD","Second Line Street Address":"Suite 202","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"78258","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Salman","Last Name":"Malik","NPI":"1417977737","Specialty":"Oral Surgery","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"80 NASHUA RD","Second Line Street Address":"","City Name":"LONDONDERRY","State Code":"NH","Zip code":"30533426","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Patricia","Last Name":"Gerbarg","NPI":"1972561884","Specialty":"Psychiatry","Optout Effective Date":"9\/10\/2012","Optout End Date":"9\/10\/2026","First Line Street Address":"86 SHERRY LN","Second Line Street Address":"","City Name":"KINGSTON","State Code":"NY","Zip code":"124014724","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Marcelle","Last Name":"Grant","NPI":"1780897157","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2019","Optout End Date":"10\/1\/2027","First Line Street Address":"532 DON GASPAR AVE","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875052626","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Thomas","Last Name":"Kielma","NPI":"1982763983","Specialty":"Oral Surgery","Optout Effective Date":"9\/21\/2012","Optout End Date":"9\/21\/2026","First Line Street Address":"2901 W KINNICKKENNIC RIVER PKWY STE 104","Second Line Street Address":"","City Name":"MILWAUKEE","State Code":"WI","Zip code":"532153660","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Michael","Last Name":"Saumur","NPI":"1396908224","Specialty":"Oral Surgery","Optout Effective Date":"8\/15\/2012","Optout End Date":"8\/15\/2026","First Line Street Address":"1112 RAMBLING OAKS DR","Second Line Street Address":"","City Name":"NORMAN","State Code":"OK","Zip code":"730724134","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Timothy","Last Name":"Gutierrez","NPI":"1275613788","Specialty":"Oral Surgery","Optout Effective Date":"8\/17\/2012","Optout End Date":"8\/17\/2026","First Line Street Address":"1513 CARLISLE NEBLVD","Second Line Street Address":"","City Name":"ALBUQUERQUE","State Code":"NM","Zip code":"871105685","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Debbie","Last Name":"Vigil","NPI":"1427094101","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1692 HOSPITAL DR","Second Line Street Address":"","City Name":"SANTA FE","State Code":"NM","Zip code":"875054754","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Mark","Last Name":"Mclain","NPI":"1649318486","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"576 HIGHLAND COLONY PKWY","Second Line Street Address":"SUITE 100","City Name":"RIDGELAND","State Code":"MS","Zip code":"39157","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Emily","Last Name":"Frye","NPI":"1427148394","Specialty":"Oral Surgery","Optout Effective Date":"8\/15\/2012","Optout End Date":"8\/15\/2026","First Line Street Address":"3100 W BRITTON RD","Second Line Street Address":"SUITE A","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731202058","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Karen","Last Name":"Deane Johnson","NPI":"1992806442","Specialty":"Clinical Social Worker","Optout Effective Date":"8\/10\/2010","Optout End Date":"8\/10\/2026","First Line Street Address":"124 CARVER SQ","Second Line Street Address":"","City Name":"WACONIA","State Code":"MN","Zip code":"553879686","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Matthew","Last Name":"Lenz","NPI":"1477606762","Specialty":"Oral Surgery","Optout Effective Date":"9\/21\/2012","Optout End Date":"9\/21\/2026","First Line Street Address":"14221 METCALF AVE STE 100","Second Line Street Address":"","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662233333","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Mary","Last Name":"Doheny","NPI":"1265651616","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/19\/2023","Optout End Date":"9\/19\/2027","First Line Street Address":"111 N WABASH AVE","Second Line Street Address":"STE 1704","City Name":"CHICAGO","State Code":"IL","Zip code":"606022984","Eligible to Order and Refer":"N","Last updated":"11\/14\/2025"},{"First Name":"Randal","Last Name":"Shook","NPI":"1982729794","Specialty":"Dentist","Optout Effective Date":"9\/24\/2012","Optout End Date":"9\/24\/2026","First Line Street Address":"1020 MENOMONIE ST","Second Line Street Address":"","City Name":"EAU CLAIRE","State Code":"WI","Zip code":"547035952","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"James","Last Name":"Friedeck","NPI":"1659496578","Specialty":"Oral Surgery","Optout Effective Date":"9\/24\/2012","Optout End Date":"9\/24\/2026","First Line Street Address":"1020 MENOMONIE ST","Second Line Street Address":"","City Name":"EAU CLAIRE","State Code":"WI","Zip code":"547035952","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Marc","Last Name":"Chernoff","NPI":"1508894130","Specialty":"Orthopedic Surgery","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"2500 NESCONSET HWY","Second Line Street Address":"BLDG 9","City Name":"STONY BROOK","State Code":"NY","Zip code":"117902564","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Curtis","Last Name":"Travis","NPI":"1386769222","Specialty":"Dentist","Optout Effective Date":"9\/24\/2012","Optout End Date":"9\/24\/2026","First Line Street Address":"1020 MENOMONIE ST","Second Line Street Address":"","City Name":"EAU  CLAIRE","State Code":"WI","Zip code":"547035952","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"James","Last Name":"Flax","NPI":"1093816159","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"11 MEDICAL PARK DR","Second Line Street Address":"STE 102","City Name":"POMONA","State Code":"NY","Zip code":"109703559","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Schuyler","Last Name":"Vangorden","NPI":"1306961206","Specialty":"Oral Surgery","Optout Effective Date":"9\/24\/2012","Optout End Date":"9\/24\/2026","First Line Street Address":"1020 MENOMONIE ST","Second Line Street Address":"","City Name":"EAU CLAIRE","State Code":"WI","Zip code":"547035952","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Eric","Last Name":"Carlson","NPI":"1366737769","Specialty":"Dentist","Optout Effective Date":"9\/24\/2012","Optout End Date":"9\/24\/2026","First Line Street Address":"1020 MENOMONIE ST","Second Line Street Address":"","City Name":"EAU CLAIRE","State Code":"WI","Zip code":"547035952","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Timothy","Last Name":"Dutta","NPI":"1992752885","Specialty":"Cardiovascular Disease (Cardiology)","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"310 E 72ND ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100214726","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"William","Last Name":"Jones","NPI":"1649376278","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"252 7TH AVE","Second Line Street Address":"# 70","City Name":"NEW YORK","State Code":"NY","Zip code":"100017326","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Darlyne","Last Name":"Nemeth","NPI":"1144380270","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"4611 BLUEBONNET BLVD","Second Line Street Address":"STE B","City Name":"BATON ROUGE","State Code":"LA","Zip code":"708099651","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Joann","Last Name":"Smith","NPI":"1881761260","Specialty":"Psychiatry","Optout Effective Date":"3\/2\/2013","Optout End Date":"3\/2\/2027","First Line Street Address":"1261 POST RD","Second Line Street Address":"STE 200A","City Name":"FAIRFIELD","State Code":"CT","Zip code":"68246072","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Ira","Last Name":"Deitz","NPI":"1306913785","Specialty":"Psychiatry","Optout Effective Date":"3\/2\/2013","Optout End Date":"3\/2\/2027","First Line Street Address":"1261 POST RD","Second Line Street Address":"STE 200A","City Name":"FAIRFIELD","State Code":"CT","Zip code":"68246072","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Elicia","Last Name":"Seay","NPI":"1316993504","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/1\/2017","Optout End Date":"4\/1\/2027","First Line Street Address":"5250 CHEROKEE AVE","Second Line Street Address":"","City Name":"ALEXANDRIA","State Code":"VA","Zip code":"223122052","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Anne","Last Name":"Trussell","NPI":"1427012962","Specialty":"Internal Medicine","Optout Effective Date":"10\/24\/2018","Optout End Date":"10\/24\/2026","First Line Street Address":"10310 W MARKHAM","Second Line Street Address":"","City Name":"LITTLE ROCK","State Code":"AR","Zip code":"722052175","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Mary Beth","Last Name":"Mcgann","NPI":"1477565323","Specialty":"Psychiatry","Optout Effective Date":"10\/20\/2012","Optout End Date":"10\/20\/2026","First Line Street Address":"7607 FERN AVE","Second Line Street Address":"STE 204D","City Name":"SHREVEPORT","State Code":"LA","Zip code":"711055699","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Rebecca","Last Name":"Ward","NPI":"1073540555","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"415 N MCKINLEY ST","Second Line Street Address":"PLAZA WEST SUITE 630","City Name":"LITTLE ROCK","State Code":"AR","Zip code":"722053013","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Eric","Last Name":"Goldsmith","NPI":"1336131432","Specialty":"Psychiatry","Optout Effective Date":"2\/5\/2018","Optout End Date":"2\/5\/2028","First Line Street Address":"420 MADISON AVE","Second Line Street Address":"RM 801","City Name":"NEW YORK","State Code":"NY","Zip code":"100171196","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Marilyn","Last Name":"Schwartz","NPI":"1124249537","Specialty":"Clinical Psychologist","Optout Effective Date":"11\/4\/2010","Optout End Date":"11\/4\/2026","First Line Street Address":"5008 LOWELL STREET NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"200162606","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Susan Cook","Last Name":"Maytorena","NPI":"1609098227","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"629 SOUTH WASHINGTON STREET","Second Line Street Address":"","City Name":"ALEXANDRIA","State Code":"VA","Zip code":"22314","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Andrea","Last Name":"Jimenez","NPI":"1295780393","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2021","Optout End Date":"10\/1\/2027","First Line Street Address":"1709 LEGION RD 200A","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275172374","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Jill","Last Name":"Compton","NPI":"1508949751","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/10\/2012","Optout End Date":"9\/10\/2026","First Line Street Address":"5007 SOUTHPARK DR 250","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277137742","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Prudence","Last Name":"Cuper","NPI":"1033468608","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/29\/2012","Optout End Date":"8\/29\/2026","First Line Street Address":"5007 SOUTHPARK DR 250","Second Line Street Address":"","City Name":"DURHAM","State Code":"NC","Zip code":"277137742","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Ruth","Last Name":"Kohl","NPI":"1205091469","Specialty":"Clinical Social Worker","Optout Effective Date":"8\/16\/2012","Optout End Date":"8\/16\/2026","First Line Street Address":"13850 BALNTYN CORP PL","Second Line Street Address":"STE 500","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282772830","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"David","Last Name":"Mitnick","NPI":"1720130248","Specialty":"Psychiatry","Optout Effective Date":"2\/6\/2019","Optout End Date":"2\/6\/2027","First Line Street Address":"240 W PASSAIC ST","Second Line Street Address":"","City Name":"MAYWOOD","State Code":"NJ","Zip code":"76071264","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Ariel","Last Name":"De Llanos","NPI":"1922171743","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"2040 BABCOCK RD","Second Line Street Address":"301","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"78229","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Kathleen","Last Name":"Gotelli","NPI":"1306975768","Specialty":"Clinical Social Worker","Optout Effective Date":"8\/31\/2012","Optout End Date":"8\/31\/2026","First Line Street Address":"1414 TALLYHO TRAIL","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"27516","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Ron","Last Name":"Messner","NPI":"1548515646","Specialty":"Clinical Social Worker","Optout Effective Date":"12\/30\/2021","Optout End Date":"12\/30\/2027","First Line Street Address":"515 E HIGHLAND ST","Second Line Street Address":"","City Name":"MORTON","State Code":"IL","Zip code":"615509501","Eligible to Order and Refer":"N","Last updated":"1\/15\/2026"},{"First Name":"George","Last Name":"Tawfik","NPI":"1265528129","Specialty":"Psychiatry","Optout Effective Date":"9\/21\/2016","Optout End Date":"9\/21\/2026","First Line Street Address":"900 SOUTH AVE","Second Line Street Address":"","City Name":"STATEN ISLAND","State Code":"NY","Zip code":"103143418","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Marian","Last Name":"Shapiro","NPI":"1871661140","Specialty":"Clinical Psychologist","Optout Effective Date":"12\/23\/2017","Optout End Date":"12\/23\/2027","First Line Street Address":"17 LANTERN LN","Second Line Street Address":"","City Name":"LEXINGTON","State Code":"MA","Zip code":"24216029","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Ryan","Last Name":"Goslin","NPI":"1487698130","Specialty":"Oral Surgery","Optout Effective Date":"10\/30\/2015","Optout End Date":"10\/30\/2027","First Line Street Address":"75 TALCOTT RD","Second Line Street Address":"STE 20","City Name":"WILLISTON","State Code":"VT","Zip code":"54958122","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Ivan","Last Name":"Castro","NPI":"1528171394","Specialty":"Internal Medicine","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"300 N PENNSYLVANIA AVE","Second Line Street Address":"","City Name":"WINTER PARK","State Code":"FL","Zip code":"327893773","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kevin","Last Name":"Riker","NPI":"1447239330","Specialty":"Oral Surgery","Optout Effective Date":"9\/15\/2012","Optout End Date":"9\/15\/2026","First Line Street Address":"1112 SAVANNAH HWY","Second Line Street Address":"","City Name":"CHARLESTON","State Code":"SC","Zip code":"294077806","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Marcia","Last Name":"Sheinberg","NPI":"1811104128","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"936 BROADWAY","Second Line Street Address":"FL 2","City Name":"NEW YORK","State Code":"NY","Zip code":"100108104","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Luis","Last Name":"Navarro","NPI":"1225172034","Specialty":"General Surgery","Optout Effective Date":"11\/20\/2017","Optout End Date":"11\/20\/2027","First Line Street Address":"327 E 65TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100656880","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2025"},{"First Name":"Stephen","Last Name":"Harris","NPI":"1316918279","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2017","Optout End Date":"10\/1\/2027","First Line Street Address":"26461 CROWN VALLEY PKWY","Second Line Street Address":"STE 100","City Name":"MISSION VIEJO","State Code":"CA","Zip code":"926916377","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Natalia","Last Name":"Thomas","NPI":"1548475783","Specialty":"Internal Medicine","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"1111 48TH N AVE 115","Second Line Street Address":"","City Name":"MYRTLE BEACH","State Code":"SC","Zip code":"295775440","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Raymond","Last Name":"Ishman","NPI":"1629097944","Specialty":"General Practice","Optout Effective Date":"12\/8\/2016","Optout End Date":"12\/8\/2026","First Line Street Address":"610 W. GERMANTOWN PIKE","Second Line Street Address":"SUITE 340","City Name":"PLYMOUTH MEETING","State Code":"PA","Zip code":"19462","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"David","Last Name":"Schwartz","NPI":"1730215468","Specialty":"Family Practice","Optout Effective Date":"9\/30\/2012","Optout End Date":"9\/30\/2026","First Line Street Address":"115 JEFFERSON HWY","Second Line Street Address":"","City Name":"LOUISA","State Code":"VA","Zip code":"230936563","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Anne","Last Name":"Karcher","NPI":"1619124351","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/21\/2012","Optout End Date":"8\/21\/2026","First Line Street Address":"1274 SEA VISTA DR","Second Line Street Address":"","City Name":"BRENTWOOD","State Code":"CA","Zip code":"945135429","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Tzuying","Last Name":"Wu","NPI":"1699730077","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"2336 SYLVAN AVE","Second Line Street Address":"STE C","City Name":"MODESTO","State Code":"CA","Zip code":"953559211","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Peregrine","Last Name":"Kavros","NPI":"1174738181","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"444 MERRICK RD","Second Line Street Address":"","City Name":"LYNBROOK","State Code":"NY","Zip code":"11563","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Sally","Last Name":"Ellebracht-Gerke","NPI":"1235168097","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"17110 HIGHWAY 87","Second Line Street Address":"","City Name":"BOONVILLE","State Code":"MO","Zip code":"652332939","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Tipu","Last Name":"Sultan","NPI":"1629132683","Specialty":"Allergy\/Immunology","Optout Effective Date":"10\/1\/1998","Optout End Date":"10\/1\/2026","First Line Street Address":"763 S NEW BALLAS RD","Second Line Street Address":"STE 204","City Name":"SAINT LOUIS","State Code":"MO","Zip code":"631418711","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Gary","Last Name":"Hansen","NPI":"1932192580","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"6301 N OAK ST STE 101","Second Line Street Address":"","City Name":"KANSAS CITY","State Code":"MO","Zip code":"641184752","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Ralph","Last Name":"Reynolds","NPI":"1346229689","Specialty":"Oral Surgery","Optout Effective Date":"10\/8\/2012","Optout End Date":"10\/8\/2026","First Line Street Address":"3520E 15TH ST 102","Second Line Street Address":"","City Name":"LOVELAND","State Code":"CO","Zip code":"805388938","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Stewart","Last Name":"Moreland","NPI":"1417060138","Specialty":"Maxillofacial Surgery","Optout Effective Date":"1\/27\/2016","Optout End Date":"1\/27\/2028","First Line Street Address":"2821 N BALLAS RD STE 225","Second Line Street Address":"","City Name":"ST LOUIS","State Code":"MO","Zip code":"631312378","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Gary","Last Name":"Nesslein","NPI":"1881687416","Specialty":"Maxillofacial Surgery","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"6301 N OAK TRFY","Second Line Street Address":"STE 101","City Name":"KANSAS CITY","State Code":"MO","Zip code":"641184752","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Joshua","Last Name":"Feder","NPI":"1811155161","Specialty":"Psychiatry","Optout Effective Date":"2\/13\/2021","Optout End Date":"2\/13\/2027","First Line Street Address":"415 N HIGHWAY 101","Second Line Street Address":"","City Name":"SOLANA BEACH","State Code":"CA","Zip code":"920751172","Eligible to Order and Refer":"N","Last updated":"3\/17\/2025"},{"First Name":"Jeff","Last Name":"Thackrey","NPI":"1306167846","Specialty":"General Practice","Optout Effective Date":"6\/28\/2012","Optout End Date":"6\/28\/2026","First Line Street Address":"6400 N ANDREWS AVE","Second Line Street Address":"STE 360","City Name":"FORT LAUDERDALE","State Code":"FL","Zip code":"333099112","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Sa","Last Name":"Drooby","NPI":"1598747354","Specialty":"Internal Medicine","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"5728NW132ND ST","Second Line Street Address":"","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731424430","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Kenton","Last Name":"Brown","NPI":"1568542777","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1600W 38TH ST 404","Second Line Street Address":"","City Name":"AUSTIN","State Code":"TX","Zip code":"787316407","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Elizabeth","Last Name":"Stuller","NPI":"1326177718","Specialty":"Psychiatry","Optout Effective Date":"12\/2\/2016","Optout End Date":"12\/2\/2026","First Line Street Address":"10701 Parkridge Blvd","Second Line Street Address":"#110","City Name":"RESTON","State Code":"VA","Zip code":"20191","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Robin","Last Name":"Bailey","NPI":"1649349507","Specialty":"Psychiatry","Optout Effective Date":"7\/18\/2012","Optout End Date":"7\/18\/2026","First Line Street Address":"1373 W 6TH STREET","Second Line Street Address":"","City Name":"ERIE","State Code":"PA","Zip code":"16505","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Kathryn","Last Name":"Wright","NPI":"1538178116","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/2\/2012","Optout End Date":"9\/2\/2026","First Line Street Address":"3141 JOHN HUMPHRIES WYND 275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276127716","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Jeanne","Last Name":"Fourrier","NPI":"1326041237","Specialty":"Dentist","Optout Effective Date":"10\/6\/2012","Optout End Date":"10\/6\/2026","First Line Street Address":"1947 GLENNS BAY RD","Second Line Street Address":"","City Name":"SURFSIDE BEACH","State Code":"SC","Zip code":"295754833","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Bernard","Last Name":"Vittone","NPI":"1558575290","Specialty":"Psychiatry","Optout Effective Date":"4\/2\/2012","Optout End Date":"4\/2\/2026","First Line Street Address":"2440 M ST NW","Second Line Street Address":"SUITE 314","City Name":"WASHINGTON","State Code":"DC","Zip code":"20037","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Peggy","Last Name":"Fuller","NPI":"1598871345","Specialty":"Dermatology","Optout Effective Date":"10\/2\/2017","Optout End Date":"10\/2\/2027","First Line Street Address":"353 CLEMENT AVE","Second Line Street Address":"","City Name":"CHARLOTTE","State Code":"NC","Zip code":"282042431","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Ronald","Last Name":"Cohen","NPI":"1629151105","Specialty":"Psychiatry","Optout Effective Date":"1\/13\/2021","Optout End Date":"1\/13\/2027","First Line Street Address":"259 VISTA DR","Second Line Street Address":"","City Name":"JERICHO","State Code":"NY","Zip code":"117532808","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Patrick","Last Name":"Barta","NPI":"1053376244","Specialty":"Psychiatry","Optout Effective Date":"7\/18\/2012","Optout End Date":"7\/18\/2026","First Line Street Address":"101 E CHESAPEAKE AVE","Second Line Street Address":"SUITE 401","City Name":"TOWSON","State Code":"MD","Zip code":"21286","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Richard","Last Name":"Fischer","NPI":"1568772846","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/29\/2012","Optout End Date":"10\/29\/2026","First Line Street Address":"15 E 91ST ST","Second Line Street Address":"# 14A","City Name":"NEW YORK","State Code":"NY","Zip code":"101280648","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Maria","Last Name":"Steinleitner","NPI":"1669586590","Specialty":"Optometry","Optout Effective Date":"9\/14\/2012","Optout End Date":"9\/14\/2026","First Line Street Address":"1401 MALL DR","Second Line Street Address":"","City Name":"NORTH CHESTERFIELD","State Code":"VA","Zip code":"232354887","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Jeanne","Last Name":"Shiffman","NPI":"1932177946","Specialty":"Family Practice","Optout Effective Date":"9\/21\/2012","Optout End Date":"9\/21\/2026","First Line Street Address":"6862 ELM ST","Second Line Street Address":"#720","City Name":"MCLEAN","State Code":"VA","Zip code":"22101","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Susan","Last Name":"Drobis","NPI":"1558413740","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"4545 42ND STREET","Second Line Street Address":"NW SUITE 304","City Name":"WASHINGTON","State Code":"DC","Zip code":"20016","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Katherine","Last Name":"Dryden","NPI":"1669530366","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/13\/2012","Optout End Date":"9\/13\/2026","First Line Street Address":"3141 JOHN HUMPHRIES WYND 275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276127716","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Mary Anne","Last Name":"Hartye","NPI":"1124075171","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/7\/2012","Optout End Date":"9\/7\/2026","First Line Street Address":"3141 JOHN HUMPHRIES WYND 275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"276127716","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Melissa","Last Name":"Frederikse","NPI":"1710910294","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"225 MILLBURN AVE","Second Line Street Address":"SUITE 210","City Name":"MILLBURN","State Code":"NJ","Zip code":"7041","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ramesh","Last Name":"Khurana","NPI":"1245442029","Specialty":"Endocrinology","Optout Effective Date":"3\/21\/2016","Optout End Date":"3\/21\/2026","First Line Street Address":"700 WASHINGTON ROAD","Second Line Street Address":"","City Name":"PITTSBURGH","State Code":"PA","Zip code":"15228","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Susan","Last Name":"Forster","NPI":"1518026913","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"11\/23\/2012","Optout End Date":"11\/23\/2026","First Line Street Address":"14 STANHOPE STREET","Second Line Street Address":"","City Name":"PRINCETON","State Code":"NJ","Zip code":"8540","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Hugh","Last Name":"Bergknoff","NPI":"1346300753","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"11\/23\/2012","Optout End Date":"11\/23\/2026","First Line Street Address":"4575 RTE 27","Second Line Street Address":"","City Name":"KINGSTON","State Code":"NJ","Zip code":"8528","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"David","Last Name":"Merrill","NPI":"1164550711","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2016","Optout End Date":"1\/1\/2028","First Line Street Address":"40 WEST 77TH ST","Second Line Street Address":"1F","City Name":"NEW YORK","State Code":"NY","Zip code":"100245128","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Kayce","Last Name":"Meginnis-Payne","NPI":"1093724684","Specialty":"Clinical Psychologist","Optout Effective Date":"12\/19\/2018","Optout End Date":"12\/19\/2026","First Line Street Address":"3141 JOHN HUMPHRIES #275","Second Line Street Address":"","City Name":"RALEIGH","State Code":"NC","Zip code":"27612","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Christopher","Last Name":"Fisher","NPI":"1689958662","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/12\/2012","Optout End Date":"10\/12\/2026","First Line Street Address":"700 EVERHART RD","Second Line Street Address":"STE H1","City Name":"CORPUS CHRISTI","State Code":"TX","Zip code":"784111927","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Wannon","NPI":"1821287178","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2012","Optout End Date":"1\/1\/2028","First Line Street Address":"5454 WISCONSIN AVE","Second Line Street Address":"STE 1215","City Name":"CHEVY CHASE","State Code":"MD","Zip code":"208156934","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"William","Last Name":"Dzyak","NPI":"1578613592","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"15130 BARNESVILLE ROAD","Second Line Street Address":"","City Name":"BOYDS","State Code":"MD","Zip code":"20841","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jude","Last Name":"Marston","NPI":"1548574577","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2019","Optout End Date":"1\/1\/2027","First Line Street Address":"4405 E WEST HWY","Second Line Street Address":"STE 301","City Name":"BETHESDA","State Code":"MD","Zip code":"208144534","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Jeffrey","Last Name":"Elting","NPI":"1669585048","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"5215 LOUGHBORO ROAD NW","Second Line Street Address":"SUITE 470","City Name":"WASHINGTON","State Code":"DC","Zip code":"20016","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Milligan","NPI":"1710045562","Specialty":"Maxillofacial Surgery","Optout Effective Date":"10\/3\/2012","Optout End Date":"10\/3\/2026","First Line Street Address":"1404 EASTLAND DR STE 101","Second Line Street Address":"","City Name":"BLOOMINGTON","State Code":"IL","Zip code":"617017904","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Robert","Last Name":"Bransfield","NPI":"1467449769","Specialty":"Psychiatry","Optout Effective Date":"7\/1\/2016","Optout End Date":"7\/1\/2026","First Line Street Address":"225 STATE ROUTE 35","Second Line Street Address":"Suite 107","City Name":"RED BANK","State Code":"NJ","Zip code":"77015919","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Roger","Last Name":"Locker","NPI":"1679746499","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"2104 HUIDEKOPER PL NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"200071822","Eligible to Order and Refer":"Y","Last updated":"3\/16\/2026"},{"First Name":"Harvey","Last Name":"Seybold","NPI":"1508087446","Specialty":"Oral Surgery","Optout Effective Date":"8\/17\/2012","Optout End Date":"8\/17\/2026","First Line Street Address":"603 E IRVING PK RD","Second Line Street Address":"","City Name":"ROSELLE","State Code":"IL","Zip code":"601722302","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Andrea","Last Name":"Stonecipher","NPI":"1699886952","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"7000 PIPER GLEN DR","Second Line Street Address":"STE B","City Name":"SPRINGFIELD","State Code":"IL","Zip code":"627117390","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Joseph","Last Name":"Hennessy","NPI":"1265407209","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"676 N MICHIGAN AVE STE 3120","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606112848","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lauren","Last Name":"Deluca Loya","NPI":"1851345532","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"1207 PARKVIEW BLVD","Second Line Street Address":"","City Name":"PITTSBURGH","State Code":"PA","Zip code":"15217","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"David","Last Name":"Nielson","NPI":"1972575827","Specialty":"Thoracic Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1202E SONTERRA BLVD 101","Second Line Street Address":"","City Name":"SAN ANTONIO","State Code":"TX","Zip code":"782584238","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Steven","Last Name":"Gallo","NPI":"1548253024","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"676 N MICHIGAN AVE STE 3120","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606112848","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Karen","Last Name":"Barile","NPI":"1407890411","Specialty":"Nurse Practitioner","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"4930 ILLINOIS RD","Second Line Street Address":"STE C1","City Name":"FORT WAYNE","State Code":"IN","Zip code":"468045105","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Gladd","NPI":"1780685768","Specialty":"Family Practice","Optout Effective Date":"8\/1\/2010","Optout End Date":"8\/1\/2026","First Line Street Address":"4930 ILLINOIS RD","Second Line Street Address":"","City Name":"FORT WAYNE","State Code":"IN","Zip code":"468045105","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Neely","Last Name":"Gladd","NPI":"1043321672","Specialty":"Nurse Practitioner","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"4930 ILLINOIS RD","Second Line Street Address":"","City Name":"FORT WAYNE","State Code":"IN","Zip code":"468045105","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Anette","Last Name":"Mnabhi","NPI":"1114060548","Specialty":"Osteopathic Manipulative Medicine","Optout Effective Date":"4\/26\/2016","Optout End Date":"4\/26\/2026","First Line Street Address":"115 N MAIN ST","Second Line Street Address":"","City Name":"MONTOGOMERY","State Code":"IL","Zip code":"605381298","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"James","Last Name":"Chenoweth","NPI":"1902863020","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"4335 JACKSON RD","Second Line Street Address":"","City Name":"ANN ARBOR","State Code":"MI","Zip code":"481031831","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Arnold","Last Name":"Dellon","NPI":"1629096771","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1122 KENILWORTH DRIVE","Second Line Street Address":"#18","City Name":"TOWSON","State Code":"MD","Zip code":"21204","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Virginia","Last Name":"Barry","NPI":"1306908967","Specialty":"Psychiatry","Optout Effective Date":"10\/5\/2010","Optout End Date":"10\/5\/2026","First Line Street Address":"111 N WABASH AVE STE 1218","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606022001","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Lori","Last Name":"Pine","NPI":"1144284092","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/16\/2020","Optout End Date":"7\/16\/2026","First Line Street Address":"35 DEFOREST AVENUE","Second Line Street Address":"","City Name":"SUMMIT","State Code":"NJ","Zip code":"7901","Eligible to Order and Refer":"N","Last updated":"8\/15\/2024"},{"First Name":"Kathleen","Last Name":"Young","NPI":"1710189501","Specialty":"Psychiatry","Optout Effective Date":"7\/31\/2017","Optout End Date":"7\/31\/2027","First Line Street Address":"111 E 80TH ST","Second Line Street Address":"APT 1D","City Name":"NEW YORK","State Code":"NY","Zip code":"100750350","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Samuel","Last Name":"Sells","NPI":"1245341403","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1701 N MAIN ST SUITE A","Second Line Street Address":"","City Name":"SHELBYVILLE","State Code":"TN","Zip code":"371602301","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Katharine","Last Name":"Rossier","NPI":"1598813354","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2016","Optout End Date":"1\/1\/2028","First Line Street Address":"2029 P ST NW","Second Line Street Address":"STE 302","City Name":"WASHINGTON","State Code":"DC","Zip code":"200366903","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Kevin","Last Name":"Schwartz","NPI":"1679610992","Specialty":"Oral Surgery","Optout Effective Date":"8\/17\/2012","Optout End Date":"8\/17\/2026","First Line Street Address":"3401 OLANDWOOD COURT","Second Line Street Address":"#104","City Name":"OLNEY","State Code":"MD","Zip code":"20832","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Thea","Last Name":"Dake","NPI":"1326031592","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/1\/2017","Optout End Date":"1\/1\/2027","First Line Street Address":"310 STAGECOACH TRAIL #300","Second Line Street Address":"","City Name":"SAN MARCOS","State Code":"TX","Zip code":"78666","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Abram","Last Name":"Eisenstein","NPI":"1679633135","Specialty":"Gastroenterology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"12200 PRESTON RD","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752302223","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Marc","Last Name":"Litle","NPI":"1710009105","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"5944 LUTHER LN 800","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752255920","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Deborah","Last Name":"Leverette","NPI":"1073619847","Specialty":"Psychiatry","Optout Effective Date":"8\/30\/2012","Optout End Date":"8\/30\/2026","First Line Street Address":"3612 LANDMARK DR B","Second Line Street Address":"","City Name":"COLUMBIA","State Code":"SC","Zip code":"292044039","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Gary","Last Name":"Solomon","NPI":"1134193451","Specialty":"Internal Medicine","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"333 E 38TH ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100162772","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Catalina","Last Name":"Arata","NPI":"1659300309","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3925 SPRING HILL AVE","Second Line Street Address":"# B","City Name":"MOBILE","State Code":"AL","Zip code":"366085730","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Katherine","Last Name":"Billingham","NPI":"1447474473","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/14\/2008","Optout End Date":"10\/14\/2026","First Line Street Address":"150 N MICHIGAN AVE STE 2145","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606017569","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Joseph","Last Name":"Tregaskes","NPI":"1124118534","Specialty":"Dentist","Optout Effective Date":"3\/16\/2017","Optout End Date":"3\/16\/2027","First Line Street Address":"2008 BREMO RD","Second Line Street Address":"STE 104","City Name":"RICHMOND","State Code":"VA","Zip code":"232262443","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Brian","Last Name":"Esch","NPI":"1053405779","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"218 W WASHINGTON ST","Second Line Street Address":"STE 430","City Name":"SOUTH BEND","State Code":"IN","Zip code":"466011899","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jeffrey","Last Name":"Junig","NPI":"1366409823","Specialty":"Psychiatry","Optout Effective Date":"11\/22\/2016","Optout End Date":"11\/22\/2026","First Line Street Address":"1020 S MAIN ST","Second Line Street Address":"","City Name":"FOND DU LAC","State Code":"WI","Zip code":"549356138","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Patricia","Last Name":"Kincare","NPI":"1568587632","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"20 MARY E CLARK DR","Second Line Street Address":"STE 8","City Name":"HAMPSTEAD","State Code":"NH","Zip code":"38412292","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Constance","Last Name":"Crisp","NPI":"1255328134","Specialty":"Psychiatry","Optout Effective Date":"10\/2\/2002","Optout End Date":"10\/2\/2026","First Line Street Address":"400 W CAPITOL AVENUE","Second Line Street Address":"SUITE 1321","City Name":"LITTLE ROCK","State Code":"AR","Zip code":"72201","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Stephen","Last Name":"Marshall","NPI":"1417010539","Specialty":"Maxillofacial Surgery","Optout Effective Date":"10\/25\/2010","Optout End Date":"10\/25\/2026","First Line Street Address":"10510 W CERMAK RD","Second Line Street Address":"","City Name":"WESTCHESTER","State Code":"IL","Zip code":"601545202","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Stanley","Last Name":"Snow","NPI":"1558427500","Specialty":"Psychiatry","Optout Effective Date":"4\/7\/2016","Optout End Date":"4\/7\/2026","First Line Street Address":"4535 HARDING ROAD","Second Line Street Address":"","City Name":"NASHVILLE","State Code":"TN","Zip code":"37205","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"David","Last Name":"Gaddis","NPI":"1073622262","Specialty":"Oral Surgery","Optout Effective Date":"9\/25\/2012","Optout End Date":"9\/25\/2026","First Line Street Address":"14N ASHE AVE","Second Line Street Address":"","City Name":"NEWTON","State Code":"NC","Zip code":"286583229","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Charles","Last Name":"Myers","NPI":"1275866279","Specialty":"Hematology\/Oncology","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"690 BENT OAKS DR","Second Line Street Address":"","City Name":"EARLYSVILLE","State Code":"VA","Zip code":"229362605","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Evan","Last Name":"Jacobson","NPI":"1629010665","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6819 ELM STREET","Second Line Street Address":"","City Name":"MCLEAN","State Code":"VA","Zip code":"22101","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Leo","Last Name":"Weinstein","NPI":"1629120530","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2004","Optout End Date":"10\/1\/2026","First Line Street Address":"122 S MICHIGAN AVE","Second Line Street Address":"STE 1413","City Name":"CHICAGO","State Code":"IL","Zip code":"606036258","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Samuel","Last Name":"Shor","NPI":"1184611964","Specialty":"Internal Medicine","Optout Effective Date":"8\/7\/2017","Optout End Date":"8\/7\/2027","First Line Street Address":"1860 TOWN CENTER DR","Second Line Street Address":"STE 230","City Name":"RESTON","State Code":"VA","Zip code":"201905899","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Gabrielle","Last Name":"Marshall-Salomon","NPI":"1710009402","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"16 MADISON AVE","Second Line Street Address":"","City Name":"MADISON","State Code":"NJ","Zip code":"7940","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Bradley","Last Name":"Robison","NPI":"1093931644","Specialty":"Psychiatry","Optout Effective Date":"10\/5\/2012","Optout End Date":"10\/5\/2026","First Line Street Address":"106 FARRAR DR STE 109","Second Line Street Address":"","City Name":"CAPE GIRARDEAU","State Code":"MO","Zip code":"637014912","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Chris","Last Name":"Kinney","NPI":"1003978586","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"3825 FAIRVIEW DR","Second Line Street Address":"","City Name":"ANDERSON","State Code":"IN","Zip code":"460134059","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Brian","Last Name":"Lipton","NPI":"1184725434","Specialty":"Psychiatry","Optout Effective Date":"11\/1\/2017","Optout End Date":"11\/1\/2027","First Line Street Address":"1111 PARK AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"101281234","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2025"},{"First Name":"Gene","Last Name":"Dupree","NPI":"1992720650","Specialty":"Maxillofacial Surgery","Optout Effective Date":"7\/1\/2004","Optout End Date":"7\/1\/2026","First Line Street Address":"3839 W CONGRESS","Second Line Street Address":"SUITE C","City Name":"LAFAYETTE","State Code":"LA","Zip code":"705066000","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Clay","Last Name":"Chandler","NPI":"1801068978","Specialty":"Oral Surgery","Optout Effective Date":"6\/24\/2010","Optout End Date":"6\/24\/2026","First Line Street Address":"3839 WEST CONGRESS STREET","Second Line Street Address":"SUITE C","City Name":"LAFAYETTE","State Code":"LA","Zip code":"705066000","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"James","Last Name":"Condry","NPI":"1174547152","Specialty":"Oral Surgery","Optout Effective Date":"11\/22\/2012","Optout End Date":"11\/22\/2026","First Line Street Address":"4 FAIRFIELD DR","Second Line Street Address":"","City Name":"QUEENSBURY","State Code":"NY","Zip code":"128041514","Eligible to Order and Refer":"N","Last updated":"12\/15\/2024"},{"First Name":"Ann","Last Name":"Lyon","NPI":"1972651131","Specialty":"Clinical Social Worker","Optout Effective Date":"1\/26\/2015","Optout End Date":"1\/26\/2027","First Line Street Address":"1541 E LANSING DR STE 215","Second Line Street Address":"","City Name":"EAST LANSING","State Code":"MI","Zip code":"488232993","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Keith","Last Name":"Lyon","NPI":"1154479301","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/26\/2015","Optout End Date":"1\/26\/2027","First Line Street Address":"1451 E LANSING DR STE 215","Second Line Street Address":"","City Name":"EAST LANSING","State Code":"MI","Zip code":"488232993","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Jeanette","Last Name":"Witter","NPI":"1376633180","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2018","Optout End Date":"7\/1\/2026","First Line Street Address":"7981 EASTERN AVE","Second Line Street Address":"STE C5","City Name":"SILVER SPRING","State Code":"MD","Zip code":"209104863","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Joyce","Last Name":"Kasunich","NPI":"1386739118","Specialty":"Dentist","Optout Effective Date":"4\/12\/2017","Optout End Date":"4\/12\/2027","First Line Street Address":"1447 E MARKET ST","Second Line Street Address":"","City Name":"YORK","State Code":"PA","Zip code":"174031254","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Laurie","Last Name":"Belzer","NPI":"1770606659","Specialty":"Clinical Psychologist","Optout Effective Date":"8\/23\/2012","Optout End Date":"8\/23\/2026","First Line Street Address":"655 W IRVING PARK RD","Second Line Street Address":"STE 201","City Name":"CHICAGO","State Code":"IL","Zip code":"606134932","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Meyer","Last Name":"Glantz","NPI":"1518155845","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"6270 MONTROSE ROAD","Second Line Street Address":"","City Name":"ROCKVILLE","State Code":"MD","Zip code":"20852","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Rebecca","Last Name":"Dulit","NPI":"1750451373","Specialty":"Psychiatry","Optout Effective Date":"12\/1\/2012","Optout End Date":"12\/1\/2026","First Line Street Address":"45 POPHAM RD","Second Line Street Address":"STE D","City Name":"SCARSDALE","State Code":"NY","Zip code":"105834252","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Paul","Last Name":"Whitelock","NPI":"1497764385","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"310 STAGECOACH TRL 300","Second Line Street Address":"","City Name":"SAN MARCOS","State Code":"TX","Zip code":"786665183","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"William","Last Name":"Sobel","NPI":"1861654030","Specialty":"Psychiatry","Optout Effective Date":"9\/15\/2018","Optout End Date":"9\/15\/2026","First Line Street Address":"5 W 19TH ST","Second Line Street Address":"FL 9","City Name":"NEW YORK","State Code":"NY","Zip code":"100114282","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Julie","Last Name":"Lesnick","NPI":"1003921685","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2023","Optout End Date":"10\/1\/2027","First Line Street Address":"2352 MEADOWS BLVD","Second Line Street Address":"STE 205","City Name":"CASTLE ROCK","State Code":"CO","Zip code":"801098408","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Gregory","Last Name":"Ingalls","NPI":"1528034691","Specialty":"Oral Surgery","Optout Effective Date":"10\/25\/2016","Optout End Date":"10\/25\/2026","First Line Street Address":"8025 CLUB CREST DR","Second Line Street Address":"","City Name":"ARVADA","State Code":"CO","Zip code":"800052269","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Mahelsky","NPI":"1841204914","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"347 FIFTH AVENUE","Second Line Street Address":"STE 1010","City Name":"NEW YORK","State Code":"NY","Zip code":"100165000","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Mark","Last Name":"Godat","NPI":"1134281405","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"9\/7\/2012","Optout End Date":"9\/7\/2026","First Line Street Address":"7777 FOREST LN C218","Second Line Street Address":"","City Name":"DALLAS","State Code":"TX","Zip code":"752306838","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Wyn","Last Name":"Steckbauer","NPI":"1841391109","Specialty":"Dentist","Optout Effective Date":"9\/14\/2012","Optout End Date":"9\/14\/2026","First Line Street Address":"1720 CONGRESS AVE","Second Line Street Address":"","City Name":"OSHKOSH","State Code":"WI","Zip code":"549017701","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Michael","Last Name":"Bricker","NPI":"1336305671","Specialty":"Clinical Psychologist","Optout Effective Date":"6\/28\/2016","Optout End Date":"6\/28\/2026","First Line Street Address":"655 W IRVING PK RD STE 201","Second Line Street Address":"","City Name":"CHICAGO","State Code":"IL","Zip code":"606134932","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Peter","Last Name":"Domagala","NPI":"1356415673","Specialty":"Dentist","Optout Effective Date":"11\/17\/2014","Optout End Date":"11\/17\/2026","First Line Street Address":"310 TRI STATE PKWY STE 100","Second Line Street Address":"","City Name":"GURNEE","State Code":"IL","Zip code":"600315282","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Arthur","Last Name":"Rosenstock","NPI":"1386714384","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"10\/12\/2012","Optout End Date":"10\/12\/2026","First Line Street Address":"1250 SUMMER ST","Second Line Street Address":"STE 303","City Name":"STAMFORD","State Code":"CT","Zip code":"69055318","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Kimberly","Last Name":"Kobus","NPI":"1831221381","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/14\/2010","Optout End Date":"10\/14\/2026","First Line Street Address":"1240 IROQUOIS AVE STE 100","Second Line Street Address":"","City Name":"NAPERVILLE","State Code":"IL","Zip code":"605638537","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Marnie","Last Name":"Burkman","NPI":"1548485352","Specialty":"Psychiatry","Optout Effective Date":"9\/28\/2010","Optout End Date":"9\/28\/2026","First Line Street Address":"2340 E STADIUM BLVD","Second Line Street Address":"STE 8","City Name":"ANN ARBOR","State Code":"MI","Zip code":"481044823","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Margaret","Last Name":"Byrnes","NPI":"1750393096","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"1555 NAPERVILLE WHEATON RD","Second Line Street Address":"STE 120","City Name":"NAPERVILLE","State Code":"IL","Zip code":"605631536","Eligible to Order and Refer":"N","Last updated":"9\/15\/2025"},{"First Name":"Ruth","Last Name":"Clemens","NPI":"1851366322","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"10\/1\/2018","Optout End Date":"10\/1\/2026","First Line Street Address":"11975 MORRIS ROAD","Second Line Street Address":"SUITE 330","City Name":"APHARETTA","State Code":"GA","Zip code":"300053750","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Earl","Last Name":"Elstner","NPI":"1851393185","Specialty":"Oral Surgery","Optout Effective Date":"9\/28\/2012","Optout End Date":"9\/28\/2026","First Line Street Address":"3511 MEEKINS DR","Second Line Street Address":"","City Name":"FREDERICKSBURG","State Code":"VA","Zip code":"224074894","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jacob","Last Name":"Mendenhall","NPI":"1033252937","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"10900 HEFNER POINTE DR","Second Line Street Address":"STE 204","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731205074","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Curtis","Last Name":"Bowman","NPI":"1710978432","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"620S MADISON ST 302","Second Line Street Address":"","City Name":"ENID","State Code":"OK","Zip code":"737017270","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Ronnie","Last Name":"Burak","NPI":"1295843464","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2012","Optout End Date":"7\/1\/2026","First Line Street Address":"1579 THE GREENS WAY","Second Line Street Address":"SUITE 18","City Name":"JACKSONVILLE BEACH","State Code":"FL","Zip code":"322501418","Eligible to Order and Refer":"N","Last updated":"10\/15\/2024"},{"First Name":"Ronald","Last Name":"Garry","NPI":"1063510592","Specialty":"Geriatric Medicine","Optout Effective Date":"10\/2\/2012","Optout End Date":"10\/2\/2026","First Line Street Address":"1112 GOODLETTE RD N","Second Line Street Address":"STE 200","City Name":"NAPLES","State Code":"FL","Zip code":"341025497","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Paul","Last Name":"Bailey","NPI":"1861434797","Specialty":"Oral Surgery","Optout Effective Date":"9\/6\/2012","Optout End Date":"9\/6\/2026","First Line Street Address":"1405 WESTGATE CENTER DR","Second Line Street Address":"","City Name":"WINSTON SALEM","State Code":"NC","Zip code":"271032995","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Mark","Last Name":"Oghalai","NPI":"1467495069","Specialty":"Oral Surgery","Optout Effective Date":"9\/6\/2012","Optout End Date":"9\/6\/2026","First Line Street Address":"1405 WESTGATE CENTER DR","Second Line Street Address":"","City Name":"WINSTON SALEM","State Code":"NC","Zip code":"271032995","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Carl","Last Name":"Peoples","NPI":"1306888235","Specialty":"Oral Surgery","Optout Effective Date":"9\/6\/2012","Optout End Date":"9\/6\/2026","First Line Street Address":"1405 WESTGATE CENTER DR","Second Line Street Address":"","City Name":"WINSTON SALEM","State Code":"NC","Zip code":"271032995","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Charles","Last Name":"Gardner","NPI":"1992010227","Specialty":"Psychiatry","Optout Effective Date":"3\/27\/2017","Optout End Date":"3\/27\/2027","First Line Street Address":"409 FIELD POINT RD","Second Line Street Address":"","City Name":"GREENWICH","State Code":"CT","Zip code":"68307041","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2025"},{"First Name":"Ilene","Last Name":"Spector","NPI":"1477643799","Specialty":"Osteopathic Manipulative Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"277 BLACKSTOCK DR A","Second Line Street Address":"","City Name":"CRESTED BUTTE","State Code":"CO","Zip code":"812249401","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"James","Last Name":"Baker","NPI":"1770574287","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"8301S WALKER AVE 101","Second Line Street Address":"","City Name":"OKLAHOMA CITY","State Code":"OK","Zip code":"731399416","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Robert","Last Name":"Bulger","NPI":"1548247950","Specialty":"Pain Management","Optout Effective Date":"1\/1\/2025","Optout End Date":"1\/1\/2027","First Line Street Address":"9301 N CENTRAL EXPY","Second Line Street Address":"STE 115","City Name":"DALLAS","State Code":"TX","Zip code":"752310802","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Elizabeth","Last Name":"Cordes","NPI":"1760585749","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1616E 19TH ST 305","Second Line Street Address":"","City Name":"EDMOND","State Code":"OK","Zip code":"730136519","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Donald","Last Name":"Lareau","NPI":"1861575946","Specialty":"Oral Surgery","Optout Effective Date":"6\/17\/2010","Optout End Date":"6\/17\/2026","First Line Street Address":"7373 FRANCE AVE S","Second Line Street Address":"STE 502","City Name":"EDINA","State Code":"MN","Zip code":"554354549","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2024"},{"First Name":"Carl","Last Name":"Burak","NPI":"1780792762","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"482 JACKSONVILLE DRIVE","Second Line Street Address":"","City Name":"JACKSONVILLE BEACH","State Code":"FL","Zip code":"322503812","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Yasmine","Last Name":"Ali","NPI":"1316094287","Specialty":"Cardiovascular Disease (Cardiology)","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"842 BRESSLYN ROAD","Second Line Street Address":"","City Name":"NASHVILLE","State Code":"TN","Zip code":"37205","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Dorota","Last Name":"Matusewicz","NPI":"1194892679","Specialty":"Internal Medicine","Optout Effective Date":"8\/17\/2012","Optout End Date":"8\/17\/2026","First Line Street Address":"3023 EASTLAND BLVD 107","Second Line Street Address":"","City Name":"CLEARWATER","State Code":"FL","Zip code":"337614106","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Michael","Last Name":"Lee","NPI":"1568476786","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"7887N KENDALL DR 230","Second Line Street Address":"","City Name":"MIAMI","State Code":"FL","Zip code":"331567494","Eligible to Order and Refer":"N","Last updated":"11\/15\/2024"},{"First Name":"Dana","Last Name":"Mcneir","NPI":"1558343582","Specialty":"Oral Surgery","Optout Effective Date":"10\/19\/2004","Optout End Date":"10\/19\/2026","First Line Street Address":"732 FLORSHEIM DR","Second Line Street Address":"","City Name":"LIBERTYVILLE","State Code":"IL","Zip code":"600483722","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Thomas","Last Name":"Kavieff","NPI":"1447268644","Specialty":"General Practice","Optout Effective Date":"10\/1\/2010","Optout End Date":"10\/1\/2026","First Line Street Address":"31800 NORTHWESTERN HWY","Second Line Street Address":"STE 325","City Name":"FARMINGTON HILLS","State Code":"MI","Zip code":"483341657","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Kevin","Last Name":"Kopp","NPI":"1659449775","Specialty":"Dentist","Optout Effective Date":"6\/12\/2017","Optout End Date":"6\/12\/2027","First Line Street Address":"188 N YORK RD","Second Line Street Address":"","City Name":"ELMHURST","State Code":"IL","Zip code":"601262715","Eligible to Order and Refer":"Y","Last updated":"7\/15\/2025"},{"First Name":"Michele","Last Name":"Reyes","NPI":"1538109566","Specialty":"Family Practice","Optout Effective Date":"10\/1\/2000","Optout End Date":"10\/1\/2026","First Line Street Address":"6789 N GREEN BAY AVE","Second Line Street Address":"","City Name":"GLENDALE","State Code":"WI","Zip code":"532093472","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"John","Last Name":"Wycoff","NPI":"1487619961","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2015","Optout End Date":"1\/1\/2027","First Line Street Address":"1226  MICHIGAN AVE","Second Line Street Address":"","City Name":"EAST LANSING","State Code":"MI","Zip code":"488234022","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Carolyn","Last Name":"Daitch","NPI":"1992963607","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/27\/2010","Optout End Date":"9\/27\/2026","First Line Street Address":"28592 ORCHARD LAKE RD STE 301","Second Line Street Address":"","City Name":"FARMINGTON HILLS","State Code":"MI","Zip code":"483342903","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Glenn","Last Name":"Gequillana","NPI":"1154484616","Specialty":"Oral Surgery","Optout Effective Date":"9\/21\/2012","Optout End Date":"9\/21\/2026","First Line Street Address":"2901W KINNICKINNIC RIVER PKWY 104","Second Line Street Address":"","City Name":"MILWAUKEE","State Code":"WI","Zip code":"532153660","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Eileen","Last Name":"Engle","NPI":"1114998945","Specialty":"Obstetrics\/Gynecology","Optout Effective Date":"3\/13\/2018","Optout End Date":"3\/13\/2026","First Line Street Address":"595 W STATE ST","Second Line Street Address":"BOX 56","City Name":"DOYLESTOWN","State Code":"PA","Zip code":"189012554","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Steven","Last Name":"Rothke","NPI":"1770633430","Specialty":"Clinical Psychologist","Optout Effective Date":"2\/23\/2017","Optout End Date":"2\/23\/2027","First Line Street Address":"3710 COMMERCIAL AVE","Second Line Street Address":"STE 6","City Name":"NORTHBROOK","State Code":"IL","Zip code":"600621843","Eligible to Order and Refer":"N","Last updated":"3\/17\/2025"},{"First Name":"Fabian","Last Name":"Latocha","NPI":"1033167242","Specialty":"Oral Surgery","Optout Effective Date":"10\/1\/2008","Optout End Date":"10\/1\/2026","First Line Street Address":"202 S GREELEAF ST STE A","Second Line Street Address":"","City Name":"GURNEE","State Code":"IL","Zip code":"600313399","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Julie","Last Name":"Higgins","NPI":"1588617781","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"2716 OLD ROSEBUD RD","Second Line Street Address":"","City Name":"LEXINGTON","State Code":"KY","Zip code":"405098003","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Kenneth","Last Name":"Woliner","NPI":"1881786796","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2015","Optout End Date":"1\/1\/2027","First Line Street Address":"9325 GLADES RD 104","Second Line Street Address":"","City Name":"BOCA RATON","State Code":"FL","Zip code":"334343988","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Kimberley","Last Name":"Barnes","NPI":"1003898925","Specialty":"Optometry","Optout Effective Date":"12\/2\/2012","Optout End Date":"12\/2\/2026","First Line Street Address":"15631 COUNTY HIGHWAY 109","Second Line Street Address":"","City Name":"UPPER SANDUSKY","State Code":"OH","Zip code":"433519435","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Ruth","Last Name":"Treiber","NPI":"1861594582","Specialty":"Dermatology","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"175 PURCHASE ST","Second Line Street Address":"","City Name":"RYE","State Code":"NY","Zip code":"105802137","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Robert","Last Name":"Lupi","NPI":"1003971797","Specialty":"Psychiatry","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"5 W 86TH ST","Second Line Street Address":"APT 6A","City Name":"NEW YORK","State Code":"NY","Zip code":"100243663","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Rubin","Last Name":"Moore","NPI":"1598929507","Specialty":"Psychiatry","Optout Effective Date":"10\/15\/2012","Optout End Date":"10\/15\/2026","First Line Street Address":"4500 COLLEGE BLVD STE 304","Second Line Street Address":"","City Name":"OVERLAND PARK","State Code":"KS","Zip code":"662111760","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Akos","Last Name":"Beszterczey","NPI":"1568409266","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"210 WHITING ST","Second Line Street Address":"STE 5","City Name":"HINGHAM","State Code":"MA","Zip code":"20433724","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Ann","Last Name":"Schongalla","NPI":"1982753752","Specialty":"Psychiatry","Optout Effective Date":"10\/26\/2012","Optout End Date":"10\/26\/2026","First Line Street Address":"425 E 79TH ST","Second Line Street Address":"APT 1J","City Name":"NEW YORK","State Code":"NY","Zip code":"100751038","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Liebowitz","NPI":"1265578629","Specialty":"Psychiatry","Optout Effective Date":"4\/1\/2016","Optout End Date":"4\/1\/2026","First Line Street Address":"134 EAST 93RD ST","Second Line Street Address":"SUITE 201B","City Name":"NEW YORK","State Code":"NY","Zip code":"101281704","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Grace","Last Name":"Mclaurin","NPI":"1366441149","Specialty":"Physician Assistant","Optout Effective Date":"1\/10\/2018","Optout End Date":"1\/10\/2028","First Line Street Address":"74 8TH ST SE","Second Line Street Address":"STE 101","City Name":"HICKORY","State Code":"NC","Zip code":"28602","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Jose","Last Name":"Arauz-Dutari","NPI":"1538361688","Specialty":"Oral Surgery","Optout Effective Date":"9\/21\/2012","Optout End Date":"9\/21\/2026","First Line Street Address":"200 DOCTORS DR N","Second Line Street Address":"","City Name":"JACKSONVILLE","State Code":"NC","Zip code":"285466308","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Robert","Last Name":"Schwartz","NPI":"1881685345","Specialty":"Physical Medicine And Rehabilitation","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"317 SAINT FRANCIS DR 350","Second Line Street Address":"","City Name":"GREENVILLE","State Code":"SC","Zip code":"296013914","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Ryan","Last Name":"Bailey","NPI":"1588643068","Specialty":"Oral Surgery","Optout Effective Date":"10\/2\/2012","Optout End Date":"10\/2\/2026","First Line Street Address":"1380 CENTRAL PARK BLVD","Second Line Street Address":"","City Name":"FREDERICKSBURG","State Code":"VA","Zip code":"224014926","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Jerry","Last Name":"Kleiman","NPI":"1245366475","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"75 PLANDOME RD","Second Line Street Address":"","City Name":"MANHASSET","State Code":"NY","Zip code":"110302303","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Brian","Last Name":"Devers","NPI":"1104126879","Specialty":"Dentist","Optout Effective Date":"10\/8\/2018","Optout End Date":"10\/8\/2026","First Line Street Address":"3065 ROSECRANS PL","Second Line Street Address":"STE 110","City Name":"SAN DIEGO","State Code":"CA","Zip code":"921104854","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Stephen","Last Name":"Tornay","NPI":"1386799765","Specialty":"Dentist","Optout Effective Date":"10\/24\/2012","Optout End Date":"10\/24\/2026","First Line Street Address":"315 WALNUT AVE","Second Line Street Address":"","City Name":"SAN DIEGO","State Code":"CA","Zip code":"921034904","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"James","Last Name":"Lipton","NPI":"1174562771","Specialty":"Oral Surgery","Optout Effective Date":"11\/4\/2016","Optout End Date":"11\/4\/2026","First Line Street Address":"9000 CLINE AVE","Second Line Street Address":"","City Name":"HIGHLAND","State Code":"IN","Zip code":"463222204","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"John","Last Name":"Walker","NPI":"1639267800","Specialty":"Psychiatry","Optout Effective Date":"10\/8\/2012","Optout End Date":"10\/8\/2026","First Line Street Address":"1700 KRAFT DR","Second Line Street Address":"STE 1375","City Name":"BLACKSBURG","State Code":"VA","Zip code":"240606393","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Steven","Last Name":"Mullinix","NPI":"1851321012","Specialty":"Clinical Psychologist","Optout Effective Date":"9\/1\/2012","Optout End Date":"9\/1\/2026","First Line Street Address":"100 EUROPA DR 260","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275172394","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Maureen","Last Name":"Mcshane","NPI":"1356493365","Specialty":"Family Practice","Optout Effective Date":"9\/16\/2015","Optout End Date":"9\/16\/2027","First Line Street Address":"396 TOM MILLER RD","Second Line Street Address":"STE B","City Name":"PLATTSBURGH","State Code":"NY","Zip code":"129016403","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Craig","Last Name":"Clark","NPI":"1164529186","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"30 BURTON HILLS BLVD","Second Line Street Address":"SUITE 375","City Name":"NASHVILLE","State Code":"TN","Zip code":"372156140","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Patricia","Last Name":"Bitter","NPI":"1316116502","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/15\/2012","Optout End Date":"10\/15\/2026","First Line Street Address":"10820 SUNSET OFFICE DR","Second Line Street Address":"STE 204","City Name":"SAINT LOUIS","State Code":"MO","Zip code":"631271030","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Ann","Last Name":"Stanger","NPI":"1154491298","Specialty":"General Practice","Optout Effective Date":"11\/21\/2016","Optout End Date":"11\/21\/2026","First Line Street Address":"2984 TRIVERTON PIKE DR","Second Line Street Address":"","City Name":"FITCHBURG","State Code":"WI","Zip code":"53711","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Gail","Last Name":"Eisenberg","NPI":"1215113253","Specialty":"Psychiatry","Optout Effective Date":"5\/7\/2019","Optout End Date":"5\/7\/2027","First Line Street Address":"3990 SHERIDAN ST","Second Line Street Address":"STE 204","City Name":"HOLLYWOOD","State Code":"FL","Zip code":"330213656","Eligible to Order and Refer":"N","Last updated":"6\/15\/2025"},{"First Name":"Stephen","Last Name":"Siegel","NPI":"1871591560","Specialty":"Gastroenterology","Optout Effective Date":"12\/1\/2012","Optout End Date":"12\/1\/2026","First Line Street Address":"310 E SHORE RD","Second Line Street Address":"","City Name":"GREAT NECK","State Code":"NY","Zip code":"110232410","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Linus","Last Name":"Abrams","NPI":"1073675922","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2016","Optout End Date":"1\/1\/2028","First Line Street Address":"4 DEARFIELD DRIVE","Second Line Street Address":"","City Name":"GREENWICH","State Code":"CT","Zip code":"68315351","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Dara","Last Name":"Alewine","NPI":"1366639171","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"132 HOLIDAY CT","Second Line Street Address":"SUITE 208","City Name":"ANNAPOLIS","State Code":"MD","Zip code":"21401","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Deany","Last Name":"Merlis","NPI":"1972927036","Specialty":"Clinical Social Worker","Optout Effective Date":"4\/1\/2022","Optout End Date":"4\/1\/2026","First Line Street Address":"3931 JENIFER ST NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"200151960","Eligible to Order and Refer":"N","Last updated":"5\/15\/2024"},{"First Name":"Robert","Last Name":"Michaud","NPI":"1548384019","Specialty":"Oral Surgery","Optout Effective Date":"8\/1\/2012","Optout End Date":"8\/1\/2026","First Line Street Address":"13301N DALE MABRY HWY F","Second Line Street Address":"","City Name":"TAMPA","State Code":"FL","Zip code":"336182400","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"James","Last Name":"Nalbone","NPI":"1699889444","Specialty":"Psychiatry","Optout Effective Date":"4\/30\/2018","Optout End Date":"4\/30\/2026","First Line Street Address":"4 EXECUTIVE PARK DR","Second Line Street Address":"","City Name":"ALBANY","State Code":"NY","Zip code":"122033718","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"Richard","Last Name":"Kaner","NPI":"1437226750","Specialty":"Internal Medicine","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"6025 HAZELWOOD LN SE","Second Line Street Address":"","City Name":"BELLEVUE","State Code":"WA","Zip code":"980062615","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Linnea","Last Name":"Lei","NPI":"1821036344","Specialty":"Clinical Psychologist","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"519 N LEROUX ST","Second Line Street Address":"","City Name":"FLAGSTAFF","State Code":"AZ","Zip code":"860013221","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"David","Last Name":"Hawkins","NPI":"1871512327","Specialty":"Psychiatry","Optout Effective Date":"8\/19\/2012","Optout End Date":"8\/19\/2026","First Line Street Address":"800 EASTOWNE DR 106","Second Line Street Address":"","City Name":"CHAPEL HILL","State Code":"NC","Zip code":"275142215","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Desmond","Last Name":"Ebanks","NPI":"1275781122","Specialty":"Internal Medicine","Optout Effective Date":"1\/25\/2018","Optout End Date":"1\/25\/2028","First Line Street Address":"639 PARK RD","Second Line Street Address":"","City Name":"WEST HARTFORD","State Code":"CT","Zip code":"61073443","Eligible to Order and Refer":"Y","Last updated":"2\/16\/2026"},{"First Name":"Scott","Last Name":"Greenberg","NPI":"1972653384","Specialty":"Family Practice","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"1907 GREENTREE ROAD","Second Line Street Address":"","City Name":"CHERRY HILL","State Code":"NJ","Zip code":"80031112","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Jenny","Last Name":"West","NPI":"1174888655","Specialty":"Nurse Practitioner","Optout Effective Date":"10\/19\/2012","Optout End Date":"10\/19\/2026","First Line Street Address":"1003 GRAND AVE","Second Line Street Address":"","City Name":"WEST DES MOINES","State Code":"IA","Zip code":"502653502","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Michael","Last Name":"Libertazzo","NPI":"1730243023","Specialty":"Clinical Psychologist","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"112 ROLLINGMEAD ROAD","Second Line Street Address":"","City Name":"PRINCENTON","State Code":"NJ","Zip code":"8540","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Michael","Last Name":"Lee","NPI":"1982718490","Specialty":"Maxillofacial Surgery","Optout Effective Date":"11\/2\/2012","Optout End Date":"11\/2\/2026","First Line Street Address":"7523 STATE ROAD","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"45255","Eligible to Order and Refer":"N","Last updated":"12\/15\/2024"},{"First Name":"Allan","Last Name":"Magaziner","NPI":"1487704896","Specialty":"General Practice","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"1907 GREENTREE ROAD","Second Line Street Address":"","City Name":"CHERRY HILL","State Code":"NJ","Zip code":"8003","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Steven","Last Name":"Pieper","NPI":"1447344916","Specialty":"Maxillofacial Surgery","Optout Effective Date":"11\/5\/2012","Optout End Date":"11\/5\/2026","First Line Street Address":"7140 MIAMI AVE","Second Line Street Address":"","City Name":"CINCINNATI","State Code":"OH","Zip code":"452432676","Eligible to Order and Refer":"N","Last updated":"12\/15\/2024"},{"First Name":"Rock","Last Name":"Positano","NPI":"1669552154","Specialty":"Podiatry","Optout Effective Date":"1\/18\/2013","Optout End Date":"1\/18\/2027","First Line Street Address":"519 E 72ND ST","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100214028","Eligible to Order and Refer":"Y","Last updated":"2\/15\/2025"},{"First Name":"Deborah","Last Name":"Rubin","NPI":"1144331026","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/4\/2012","Optout End Date":"10\/4\/2026","First Line Street Address":"211 W 56TH ST","Second Line Street Address":"APT 30H","City Name":"NEW YORK","State Code":"NY","Zip code":"100194324","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Thomas","Last Name":"Seman","NPI":"1891894671","Specialty":"Pediatric Medicine","Optout Effective Date":"5\/3\/2017","Optout End Date":"5\/3\/2027","First Line Street Address":"480 MAPLE ST","Second Line Street Address":"STE 3A","City Name":"DANVERS","State Code":"MA","Zip code":"19234067","Eligible to Order and Refer":"Y","Last updated":"6\/15\/2025"},{"First Name":"Tamara","Last Name":"Sachs","NPI":"1952325896","Specialty":"Internal Medicine","Optout Effective Date":"7\/5\/2016","Optout End Date":"7\/5\/2026","First Line Street Address":"15 BENNITT ST","Second Line Street Address":"","City Name":"NEW MILFORD","State Code":"CT","Zip code":"67762730","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Raymond","Last Name":"Coll","NPI":"1619051133","Specialty":"Neurology","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"1365 YORK AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100214035","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Peter","Last Name":"Wisch","NPI":"1588652887","Specialty":"Dermatology","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"55 EAST 87TH STREET","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"101281043","Eligible to Order and Refer":"N","Last updated":"1\/15\/2025"},{"First Name":"Nicole","Last Name":"Alba-Valencia","NPI":"1194943944","Specialty":"Psychiatry","Optout Effective Date":"9\/26\/2025","Optout End Date":"9\/26\/2027","First Line Street Address":"1060 LINCOLN AVE","Second Line Street Address":"STE 20","City Name":"SAN JOSE","State Code":"CA","Zip code":"951253110","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"Byron","Last Name":"Poindexter","NPI":"1528177516","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"1825 SAMUEL MORSE DR","Second Line Street Address":"","City Name":"RESTON","State Code":"VA","Zip code":"20190","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Laurie","Last Name":"Barrett","NPI":"1447566260","Specialty":"Clinical Psychologist","Optout Effective Date":"7\/1\/2019","Optout End Date":"7\/1\/2027","First Line Street Address":"660 MIDDLEFIELD RD","Second Line Street Address":"","City Name":"PALO ALTO","State Code":"CA","Zip code":"943012125","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2025"},{"First Name":"Ashley","Last Name":"Swinson","NPI":"1285840504","Specialty":"Clinical Social Worker","Optout Effective Date":"8\/21\/2012","Optout End Date":"8\/21\/2026","First Line Street Address":"3240 BURNT MILL DR","Second Line Street Address":"STE 1","City Name":"WILMINGTON","State Code":"NC","Zip code":"284032570","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2024"},{"First Name":"Bryan","Last Name":"Konikoff","NPI":"1427072404","Specialty":"Oral Surgery","Optout Effective Date":"10\/8\/2012","Optout End Date":"10\/8\/2026","First Line Street Address":"477 VIKING DR 190","Second Line Street Address":"","City Name":"VIRGINIA BEACH","State Code":"VA","Zip code":"234527354","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Trang","Last Name":"Salzberg","NPI":"1073536306","Specialty":"Dentist","Optout Effective Date":"10\/8\/2012","Optout End Date":"10\/8\/2026","First Line Street Address":"477 VIKING DR 190","Second Line Street Address":"","City Name":"VIRGINIA BEACH","State Code":"VA","Zip code":"234527354","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Albert","Last Name":"Konikoff","NPI":"1144228719","Specialty":"Dentist","Optout Effective Date":"10\/8\/2012","Optout End Date":"10\/8\/2026","First Line Street Address":"477 VIKING DR 190","Second Line Street Address":"","City Name":"VIRGINIA BEACH","State Code":"VA","Zip code":"234527354","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Richard","Last Name":"Boyle","NPI":"1316938129","Specialty":"Maxillofacial Surgery","Optout Effective Date":"12\/6\/2017","Optout End Date":"12\/6\/2027","First Line Street Address":"100 PROFESSIONAL PARK SEDR 1","Second Line Street Address":"","City Name":"BLACKSBURG","State Code":"VA","Zip code":"240606736","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Clinton","Last Name":"Howard","NPI":"1073504882","Specialty":"Maxillofacial Surgery","Optout Effective Date":"12\/6\/2017","Optout End Date":"12\/6\/2027","First Line Street Address":"100 PROFESSIONAL PARK SEDR 1","Second Line Street Address":"","City Name":"BLACKSBURG","State Code":"VA","Zip code":"240606736","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2026"},{"First Name":"Nicholas","Last Name":"Davis","NPI":"1003155086","Specialty":"Oral Surgery","Optout Effective Date":"2\/11\/2017","Optout End Date":"2\/11\/2027","First Line Street Address":"2503 EASTBLUFF DR","Second Line Street Address":"STE 102","City Name":"NEWPORT BEACH","State Code":"CA","Zip code":"926603549","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Eugene","Last Name":"Rubin","NPI":"1760538417","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"30700 TELEGRAPH STE 2671","Second Line Street Address":"","City Name":"BINGHAM FARMS","State Code":"MI","Zip code":"480254526","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Amy","Last Name":"Biehl","NPI":"1104948165","Specialty":"Oral Surgery","Optout Effective Date":"10\/22\/2012","Optout End Date":"10\/22\/2026","First Line Street Address":"233 S ERIE ST","Second Line Street Address":"","City Name":"DE PERE","State Code":"WI","Zip code":"541152913","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Sarah","Last Name":"Heuer","NPI":"1801917810","Specialty":"Dentist","Optout Effective Date":"10\/23\/2012","Optout End Date":"10\/23\/2026","First Line Street Address":"704 S WEBSTER AVE","Second Line Street Address":"STE 402","City Name":"GREEN BAY","State Code":"WI","Zip code":"543013531","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Gary","Last Name":"Noble","NPI":"1316069370","Specialty":"Oral Surgery","Optout Effective Date":"10\/23\/2012","Optout End Date":"10\/23\/2026","First Line Street Address":"704 S WEBSTER","Second Line Street Address":"","City Name":"GREEN BAY","State Code":"WI","Zip code":"543013528","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Carol","Last Name":"Levin","NPI":"1497733646","Specialty":"Psychiatry","Optout Effective Date":"11\/5\/2012","Optout End Date":"11\/5\/2026","First Line Street Address":"2147 COMMONS PKWY STE A","Second Line Street Address":"","City Name":"OKEMOS","State Code":"MI","Zip code":"488646922","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Cary","Last Name":"Gunther","NPI":"1942467816","Specialty":"Neuropsychiatry","Optout Effective Date":"10\/26\/2012","Optout End Date":"10\/26\/2026","First Line Street Address":"955 LEXINGTON AVE","Second Line Street Address":"","City Name":"NEW YORK","State Code":"NY","Zip code":"100215128","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"E","Last Name":"Blume","NPI":"1588650691","Specialty":"Clinical Social Worker","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"28 ELM PL","Second Line Street Address":"","City Name":"FREEPORT","State Code":"NY","Zip code":"115204246","Eligible to Order and Refer":"Y","Last updated":"11\/15\/2024"},{"First Name":"Manuel","Last Name":"Astruc","NPI":"1700863255","Specialty":"Psychiatry","Optout Effective Date":"10\/1\/2012","Optout End Date":"10\/1\/2026","First Line Street Address":"414 MAPLE AVE","Second Line Street Address":"STE 700","City Name":"SARATOGA SPRINGS","State Code":"NY","Zip code":"128665551","Eligible to Order and Refer":"Y","Last updated":"9\/15\/2025"},{"First Name":"Ann","Last Name":"Martini","NPI":"1245437672","Specialty":"Clinical Social Worker","Optout Effective Date":"9\/20\/2012","Optout End Date":"9\/20\/2026","First Line Street Address":"51 E CAMPBELL AVE","Second Line Street Address":"STE 170","City Name":"CAMPBELL","State Code":"CA","Zip code":"950082001","Eligible to Order and Refer":"Y","Last updated":"10\/15\/2024"},{"First Name":"Robert","Last Name":"Sigal","NPI":"1225147267","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"1825 SAMUEL MORSE DR","Second Line Street Address":"","City Name":"RESTON","State Code":"VA","Zip code":"20190","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"David","Last Name":"Sheridan","NPI":"1023331360","Specialty":"Family Practice","Optout Effective Date":"3\/3\/2012","Optout End Date":"3\/3\/2026","First Line Street Address":"20214 BRAIDWOOD DR 215","Second Line Street Address":"","City Name":"KATY","State Code":"TX","Zip code":"774502140","Eligible to Order and Refer":"Y","Last updated":"4\/15\/2024"},{"First Name":"Gregory","Last Name":"Ellis","NPI":"1821182106","Specialty":"Oral Surgery","Optout Effective Date":"7\/23\/2014","Optout End Date":"7\/23\/2026","First Line Street Address":"7621 OAKMONT BLVD","Second Line Street Address":"","City Name":"FORT WORTH","State Code":"TX","Zip code":"761324206","Eligible to Order and Refer":"Y","Last updated":"8\/15\/2024"},{"First Name":"Ann","Last Name":"Soe","NPI":"1053475616","Specialty":"Clinical Social Worker","Optout Effective Date":"9\/23\/2015","Optout End Date":"9\/23\/2027","First Line Street Address":"320 W GRAND AVE STE 304 A","Second Line Street Address":"","City Name":"WISCONSIN RAPIDS","State Code":"WI","Zip code":"544952781","Eligible to Order and Refer":"Y","Last updated":"11\/14\/2025"},{"First Name":"David","Last Name":"Conant Norville","NPI":"1659423291","Specialty":"Psychiatry","Optout Effective Date":"2\/6\/2017","Optout End Date":"2\/6\/2027","First Line Street Address":"18650 NW CORNELL RD","Second Line Street Address":"STE 315","City Name":"HILLSBORO","State Code":"OR","Zip code":"971249212","Eligible to Order and Refer":"Y","Last updated":"3\/17\/2025"},{"First Name":"Ann","Last Name":"Stockman","NPI":"1487879664","Specialty":"Clinical Psychologist","Optout Effective Date":"4\/1\/2012","Optout End Date":"4\/1\/2026","First Line Street Address":"505 W NORTHERN LIGHTS BLVD","Second Line Street Address":"STE 214","City Name":"ANCHORAGE","State Code":"AK","Zip code":"995032553","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2024"},{"First Name":"David","Last Name":"Verschueren","NPI":"1447454954","Specialty":"Oral Surgery","Optout Effective Date":"4\/5\/2017","Optout End Date":"4\/5\/2027","First Line Street Address":"601 SE 117TH AVE","Second Line Street Address":"STE 120","City Name":"VANCOUVER","State Code":"WA","Zip code":"986835297","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"George","Last Name":"Weston","NPI":"1003925991","Specialty":"Plastic And Reconstructive Surgery","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"1825 SAMUEL MORSE DR","Second Line Street Address":"","City Name":"RESTON","State Code":"VA","Zip code":"20190","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Suzanne","Last Name":"Tither","NPI":"1659629483","Specialty":"Nurse Practitioner","Optout Effective Date":"4\/1\/2021","Optout End Date":"4\/1\/2027","First Line Street Address":"2944 HUNTER MILL RD","Second Line Street Address":"STE 101","City Name":"OAKTON","State Code":"VA","Zip code":"221241761","Eligible to Order and Refer":"Y","Last updated":"5\/15\/2025"},{"First Name":"Kenneth","Last Name":"Ullman","NPI":"1619057478","Specialty":"Psychiatry","Optout Effective Date":"1\/1\/2013","Optout End Date":"1\/1\/2027","First Line Street Address":"5410 CONNECTICUT AVE NW","Second Line Street Address":"","City Name":"WASHINGTON","State Code":"DC","Zip code":"20015","Eligible to Order and Refer":"Y","Last updated":"1\/15\/2025"},{"First Name":"Clifford","Last Name":"Goldman","NPI":"1275656803","Specialty":"Psychiatry","Optout Effective Date":"11\/8\/2012","Optout End Date":"11\/8\/2026","First Line Street Address":"577 WEST FIELD AVE","Second Line Street Address":"","City Name":"WESTFIELD","State Code":"NJ","Zip code":"7090","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"},{"First Name":"Steven","Last Name":"Messing","NPI":"1316162076","Specialty":"Oral Surgery","Optout Effective Date":"11\/8\/2012","Optout End Date":"11\/8\/2026","First Line Street Address":"2 EXECUTIVE PARK DR","Second Line Street Address":"","City Name":"ALBANY","State Code":"NY","Zip code":"122033700","Eligible to Order and Refer":"Y","Last updated":"12\/15\/2024"}]