{"npi":"1093242091","type":"NPI-2","status":"active","name":{"display":"Coastal Neuropsychology Services, P.A.","other":[],"organization_name":"COASTAL NEUROPSYCHOLOGY SERVICES, P.A.","authorised_official":"Jesse Chasman"},"specialty":{"primary_taxonomy":"103G00000X","primary_taxonomy_description":"Clinical Neuropsychologist","slug":"clinical-neuropsychologist","schema_org_specialty":null,"all":[{"code":"103G00000X","description":"Clinical Neuropsychologist","primary":true,"state":"SC","license":"1449"}]},"addresses":[{"purpose":"LOCATION","street_1":"1608 PARADISE LAKE DR","city":"MOUNT PLEASANT","state":"SC","postal_code":"294645719","country_code":"US","phone":"8609974723","fax":"8609974723"},{"purpose":"MAILING","street_1":"PO BOX 2520","city":"MOUNT PLEASANT","state":"SC","postal_code":"294652520","country_code":"US","phone":"8609974723"}],"license":{"state":"SC","number":"1449"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170927000657","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"3779857933"}]},"enumeration_date":"2017-05-22","last_updated":"2017-05-22","_meta":{"source":"NPPES","snapshot_date":"2017-05-22","doc_url":"https://findmynpi.com/api"}}