{"npi":"1134550502","type":"NPI-1","status":"active","name":{"display":"Dr. Crystal Ebert PHD","other":[],"first":"CRYSTAL","last":"EBERT","credential":"PHD"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":"VA","license":"0810004913"},{"code":"103T00000X","description":"Psychologist","primary":true,"state":"MN","license":"LP6293"}]},"addresses":[{"purpose":"LOCATION","street_1":"3800 PARK NICOLLET BLVD","city":"ST LOUIS PARK","state":"MN","postal_code":"554162527","country_code":"US","phone":"9529932498","fax":"9529932505"},{"purpose":"MAILING","street_1":"8170 33RD AVE S # MS 21110Q","city":"BLOOMINGTON","state":"MN","postal_code":"554254516","country_code":"US"}],"license":{"state":"MN","number":"LP6293"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180927000021","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"MN","pac_id":"6103040480"}]},"enumeration_date":"2013-12-10","last_updated":"2023-12-21","_meta":{"source":"NPPES","snapshot_date":"2023-12-21","doc_url":"https://findmynpi.com/api"}}