{"npi":"1164591541","type":"NPI-1","status":"active","name":{"display":"David Formwalt Psy D","other":[],"first":"DAVID","last":"FORMWALT","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":"AL","license":"1104"}]},"addresses":[{"purpose":"LOCATION","street_1":"7305 COTTAGE HILL ROAD","city":"MOBILE","state":"AL","postal_code":"36695","country_code":"US","phone":"2517761217","fax":"2517761219"},{"purpose":"MAILING","street_1":"POB 91276","city":"MOBILE","state":"AL","postal_code":"36691","country_code":"US","street_2":"DAVID FORMWALT PSY D LLC","phone":"2517761217","fax":"2517761219"}],"license":{"state":"AL","number":"1104"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090511000333","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"AL","pac_id":"9739237272"},{"enrlmt_id":"I20170725003183","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"TX","pac_id":"9739237272"}]},"enumeration_date":"2006-11-07","last_updated":"2007-07-09","_meta":{"source":"NPPES","snapshot_date":"2007-07-09","doc_url":"https://findmynpi.com/api"}}