{"npi":"1235666017","type":"NPI-2","status":"active","name":{"display":"Myles Tonnacliff PH.D, LLC","other":[],"organization_name":"MYLES TONNACLIFF PH.D, LLC","authorised_official":"Myles Tonnacliff"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":"WI","license":"2163-57"}]},"addresses":[{"purpose":"LOCATION","street_1":"W62N248 WASHINGTON AVE","city":"CEDARBURG","state":"WI","postal_code":"530122768","country_code":"US","street_2":"SUITE 208","phone":"2626182856"},{"purpose":"MAILING","street_1":"W62N248 WASHINGTON AVE","city":"CEDARBURG","state":"WI","postal_code":"530122768","country_code":"US","street_2":"SUITE 208","phone":"4146172663"}],"license":{"state":"WI","number":"2163-57"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180119001656","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"6103185186"}]},"enumeration_date":"2017-05-11","last_updated":"2017-05-11","_meta":{"source":"NPPES","snapshot_date":"2017-05-11","doc_url":"https://findmynpi.com/api"}}