{"npi":"1093818486","type":"NPI-1","status":"active","name":{"display":"Dr. Jennifer Song PHD","other":[{"code":"1","type":"Formerly known as","value":"LITTERICK, JENNIFER KILBURN"}],"first":"JENNIFER","last":"SONG","middle":"LITTERICK","credential":"PHD"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"NY","license":"013742"}]},"addresses":[{"purpose":"LOCATION","street_1":"760 PERINTON HILLS OFFICE PARK","city":"FAIRPORT","state":"NY","postal_code":"14450","country_code":"US","phone":"5852235920","fax":"5852235727"},{"purpose":"MAILING","street_1":"1016 ROYAL DR","city":"VICTOR","state":"NY","postal_code":"14564","country_code":"US","phone":"5857422092"}],"license":{"state":"NY","number":"013742"},"identifiers":[{"type_code":"01","label":"Other","value":"7391612","state":"NY","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"125747FC","state":"NY","issuer":"PREFERRED CARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171221000657","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"NY","pac_id":"2567720576"}]},"enumeration_date":"2006-09-07","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}