{"npi":"1144845231","type":"NPI-2","status":"active","name":{"display":"Commonwealth Clinical Group, Inc.","other":[],"organization_name":"COMMONWEALTH CLINICAL GROUP, INC.","authorised_official":"Stacie Basham"},"specialty":{"primary_taxonomy":"261QM0855X","primary_taxonomy_description":"Adolescent and Children Mental Health Clinic/Center","slug":"adolescent-and-children-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"450 S 5TH ST","city":"READING","state":"PA","postal_code":"196022642","country_code":"US","phone":"6103725645","fax":"6108989229"},{"purpose":"MAILING","street_1":"41 E ORANGE ST","city":"LANCASTER","state":"PA","postal_code":"176022846","country_code":"US","phone":"7173933900","fax":"7173937900"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"228900","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-06-15","last_updated":"2021-09-15","_meta":{"source":"NPPES","snapshot_date":"2021-09-15","doc_url":"https://findmynpi.com/api"}}