{"npi":"1124115043","type":"NPI-1","status":"active","name":{"display":"Dr. Jerry Van Winkle PSY.D.","other":[],"first":"JERRY","last":"VAN WINKLE","middle":"ALAN","credential":"PSY.D."},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"NE","license":"577"}]},"addresses":[{"purpose":"LOCATION","street_1":"2315 W 39TH ST","city":"KEARNEY","state":"NE","postal_code":"688458327","country_code":"US","phone":"3082244664","fax":"3082375581"},{"purpose":"MAILING","street_1":"2315 W 39TH ST","city":"KEARNEY","state":"NE","postal_code":"688458327","country_code":"US","phone":"3082244664","fax":"3082375581"}],"license":{"state":"NE","number":"577"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"10025728500","state":"NE","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050613000576","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"NE","pac_id":"8022052976"}]},"enumeration_date":"2006-10-10","last_updated":"2016-09-07","_meta":{"source":"NPPES","snapshot_date":"2016-09-07","doc_url":"https://findmynpi.com/api"}}