{"npi":"1134477656","type":"NPI-1","status":"active","name":{"display":"Mr. Joseph Walloch PSYD","other":[],"first":"JOSEPH","last":"WALLOCH","middle":"CHRISTOPHER","credential":"PSYD"},"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":"NM","license":"PSY-2023-0019"}]},"addresses":[{"purpose":"LOCATION","street_1":"8800 MONTGOMERY BLVD NE","city":"ALBUQUERQUE","state":"NM","postal_code":"87111","country_code":"US","phone":"5054626400","fax":"5054626565"},{"purpose":"MAILING","street_1":"PO BOX 26666","city":"ALBUQUERQUE","state":"NM","postal_code":"871256666","country_code":"US","street_2":"PHS PROVIDER ENROLLMENT","phone":"5059236770"}],"license":{"state":"NM","number":"PSY-2023-0019"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"85639729","state":"NM","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230510001331","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"NM","pac_id":"8426414871"}]},"enumeration_date":"2012-08-15","last_updated":"2023-07-05","_meta":{"source":"NPPES","snapshot_date":"2023-07-05","doc_url":"https://findmynpi.com/api"}}