{"npi":"1023109790","type":"NPI-2","status":"active","name":{"display":"Choate Health Management INC","other":[],"organization_name":"CHOATE HEALTH MANAGEMENT INC","authorised_official":"Bernice Wetzel"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"655 MEDICAL PARK DRIVE","city":"AIKEN","state":"SC","postal_code":"29802","country_code":"US","phone":"8036415907","fax":"8036415907"},{"purpose":"MAILING","street_1":"367 S GULPH RD","city":"KING OF PRUSSIA","state":"PA","postal_code":"194063121","country_code":"US","phone":"6105241552"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0009439958","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"CJ9471","state":"SC","issuer":"RAILROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"GP3028","state":"SC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-27","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}