{"npi":"1205044476","type":"NPI-1","status":"active","name":{"display":"Dr. Nicole Mavrides M.D.","other":[],"first":"NICOLE","last":"MAVRIDES","middle":"ANN","credential":"M.D."},"specialty":{"primary_taxonomy":"2084P0804X","primary_taxonomy_description":"Child & Adolescent Psychiatry","slug":"child-adolescent-psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"NY","license":"250167"},{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":true,"state":"FL","license":"ME 111503"},{"code":"2084P0015X","description":"Psychosomatic Medicine Physician","primary":false,"state":"FL","license":"ME 111503"},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"FL","license":"ME 111503"}]},"addresses":[{"purpose":"LOCATION","street_1":"1120 NW 14TH ST","city":"MIAMI","state":"FL","postal_code":"331362107","country_code":"US","street_2":"SUITE 1466","phone":"3052432861","fax":"3052438532"},{"purpose":"MAILING","street_1":"1120 NW 14TH ST","city":"MIAMI","state":"FL","postal_code":"331362107","country_code":"US","street_2":"SUITE 1466","phone":"3052432861","fax":"3052438532"}],"license":{"state":"FL","number":"ME 111503"},"identifiers":[{"type_code":"01","label":"Other","value":"250167","state":"NY","issuer":"NY STATE LICENSE"},{"type_code":"01","label":"Other","value":"ME 111503","state":"FL","issuer":"FL STATE LICENSE"},{"type_code":"05","label":"Medicaid","value":"004138900","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20111006000676","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"FL","pac_id":"7214060524"}]},"enumeration_date":"2007-05-19","last_updated":"2014-09-04","_meta":{"source":"NPPES","snapshot_date":"2014-09-04","doc_url":"https://findmynpi.com/api"}}