{"npi":"1124251590","type":"NPI-2","status":"active","name":{"display":"Tanya Theriot, PSY.D., P.C.","other":[],"organization_name":"TANYA THERIOT, PSY.D., P.C.","authorised_official":"Tanya Theriot"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"GA","license":"PSY002887"}]},"addresses":[{"purpose":"LOCATION","street_1":"3939 ROSWELL RD","city":"MARIETTA","state":"GA","postal_code":"300626251","country_code":"US","street_2":"SUITE 185","phone":"7703101792","fax":"7709451211"},{"purpose":"MAILING","street_1":"PO BOX 724384","city":"ATLANTA","state":"GA","postal_code":"311391384","country_code":"US","phone":"7703101792","fax":"4049451211"}],"license":{"state":"GA","number":"PSY002887"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"409047010A","state":"GU","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-09-01","last_updated":"2009-09-01","_meta":{"source":"NPPES","snapshot_date":"2009-09-01","doc_url":"https://findmynpi.com/api"}}