{"npi":"1205079746","type":"NPI-2","status":"active","name":{"display":"Coquus","other":[],"organization_name":"COQUUS","authorised_official":"Patricia Vance"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"MD","license":"05567"},{"code":"103T00000X","description":"Psychologist","primary":true,"state":"MD","license":"02983"}]},"addresses":[{"purpose":"LOCATION","street_1":"21 INDUSTRIAL PARK DR","city":"WALDORF","state":"MD","postal_code":"206022751","country_code":"US","street_2":"SUITE 202 F","phone":"3018480461","fax":"3018850922"},{"purpose":"MAILING","street_1":"21 INDUSTRIAL PARK DR","city":"WALDORF","state":"MD","postal_code":"206022751","country_code":"US","street_2":"SUITE 202 F","phone":"3018480461","fax":"3018850922"}],"license":{"state":"MD","number":"02983"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090701000530","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"9638220759"}]},"enumeration_date":"2009-04-14","last_updated":"2009-06-24","_meta":{"source":"NPPES","snapshot_date":"2009-06-24","doc_url":"https://findmynpi.com/api"}}