{"npi":"1174930085","type":"NPI-1","status":"active","name":{"display":"Jonathan Dubos","other":[],"first":"JONATHAN","last":"DUBOS","middle":"MICHAEL"},"specialty":{"primary_taxonomy":"103TC2200X","primary_taxonomy_description":"Clinical Child & Adolescent Psychologist","slug":"clinical-child-adolescent-psychologist","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"172V00000X","description":"Community Health Worker","primary":false,"state":null,"license":null},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"103TC2200X","description":"Clinical Child & Adolescent Psychologist","primary":true,"state":"CA","license":"PSY33913"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 SMITH RANCH RD","city":"SAN RAFAEL","state":"CA","postal_code":"949031939","country_code":"US","phone":"4154913000"},{"purpose":"MAILING","street_1":"524 RELIANT WAY","city":"AMERICAN CANYON","state":"CA","postal_code":"945033239","country_code":"US","phone":"3109667767"}],"license":{"state":"CA","number":"PSY33913"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-07-14","last_updated":"2023-04-10","_meta":{"source":"NPPES","snapshot_date":"2023-04-10","doc_url":"https://findmynpi.com/api"}}