{"npi":"1033811401","type":"NPI-2","status":"active","name":{"display":"Millcreek Therapy Psychological Services","other":[],"organization_name":"MILLCREEK THERAPY PSYCHOLOGICAL SERVICES","authorised_official":"Nancy Kimmerly"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1398 E LUCK LN","city":"MILLCREEK","state":"UT","postal_code":"841062944","country_code":"US","phone":"8018703716"},{"purpose":"MAILING","street_1":"1398 E LUCK LN","city":"MILLCREEK","state":"UT","postal_code":"841062944","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20231013002980","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"1759736549"}]},"enumeration_date":"2023-03-20","last_updated":"2023-10-17","_meta":{"source":"NPPES","snapshot_date":"2023-10-17","doc_url":"https://findmynpi.com/api"}}