{"npi":"1245945716","type":"NPI-2","status":"active","name":{"display":"North Star Psychiatric Services LLC","other":[],"organization_name":"NORTH STAR PSYCHIATRIC SERVICES LLC","authorised_official":"Susan Morales"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"195 EAST ROAD SUITE 104","city":"LOS ALAMOS","state":"NM","postal_code":"875444301","country_code":"US","phone":"5054127756","fax":"5056628859"},{"purpose":"MAILING","street_1":"NORTH STAR PSYCHIATRIC SERVICES LLC","city":"LOS ALAMOS","state":"NM","postal_code":"875444301","country_code":"US","street_2":"195 EAST ROAD SUITE 104","phone":"5054127756","fax":"5056628859"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"067620752","state":"NM","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-01-19","last_updated":"2023-01-19","_meta":{"source":"NPPES","snapshot_date":"2023-01-19","doc_url":"https://findmynpi.com/api"}}