{"npi":"1013409366","type":"NPI-2","status":"active","name":{"display":"Crawford Avenue Group INC","other":[],"organization_name":"CRAWFORD AVENUE GROUP INC","authorised_official":"Kelli Klinger"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"IL","license":"149003065"},{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"IL","license":"071007124"}]},"addresses":[{"purpose":"LOCATION","street_1":"2530 CRAWFORD AVE STE 206","city":"EVANSTON","state":"IL","postal_code":"602014959","country_code":"US","phone":"8478754411"},{"purpose":"MAILING","street_1":"2530 CRAWFORD AVE STE 206","city":"EVANSTON","state":"IL","postal_code":"602014959","country_code":"US"}],"license":{"state":"IL","number":"071007124"},"identifiers":[{"type_code":"01","label":"Other","value":"0000603083","state":"IL","issuer":"BLUE CROSS BLUE SHIELD OF ILLINOIS"},{"type_code":"01","label":"Other","value":"1619019080","state":"IL","issuer":"TYPE 1-NPI"},{"type_code":"01","label":"Other","value":"1891819363","state":"IL","issuer":"TYPE 1-NPI"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-06-02","last_updated":"2018-06-02","_meta":{"source":"NPPES","snapshot_date":"2018-06-02","doc_url":"https://findmynpi.com/api"}}