{"npi":"1093039182","type":"NPI-2","status":"active","name":{"display":"Family Service Foundation, INC","other":[],"organization_name":"FAMILY SERVICE FOUNDATION, INC","authorised_official":"Daphne Smith"},"specialty":{"primary_taxonomy":"103TR0400X","primary_taxonomy_description":"Rehabilitation Psychologist","slug":"rehabilitation-psychologist","schema_org_specialty":null,"all":[{"code":"103TR0400X","description":"Rehabilitation Psychologist","primary":true,"state":"MD","license":"4163"}]},"addresses":[{"purpose":"LOCATION","street_1":"306 DELAWARE ROAD","city":"FREDERICK","state":"MD","postal_code":"217014618","country_code":"US","phone":"3013780261","fax":"3013780267"},{"purpose":"MAILING","street_1":"5301 76TH AVE","city":"LANDOVER HILLS","state":"MD","postal_code":"207841703","country_code":"US","phone":"3014592121","fax":"3019189757"}],"license":{"state":"MD","number":"4163"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"320741200","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-03-18","last_updated":"2012-09-19","_meta":{"source":"NPPES","snapshot_date":"2012-09-19","doc_url":"https://findmynpi.com/api"}}