{"npi":"1265574396","type":"NPI-2","status":"active","name":{"display":"Chestnut Park Professionals, LLC","other":[],"organization_name":"CHESTNUT PARK PROFESSIONALS, LLC","authorised_official":"Corrie Vos"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"KY","license":"0670"}]},"addresses":[{"purpose":"LOCATION","street_1":"1215 HIGH ST","city":"BOWLING GREEN","state":"KY","postal_code":"421012541","country_code":"US","phone":"2707821116","fax":"2707829108"},{"purpose":"MAILING","street_1":"1215 HIGH ST","city":"BOWLING GREEN","state":"KY","postal_code":"421012541","country_code":"US","phone":"2707821116","fax":"2707829108"}],"license":{"state":"KY","number":"0670"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20051026000749","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"8921025230"}]},"enumeration_date":"2007-02-13","last_updated":"2012-04-12","_meta":{"source":"NPPES","snapshot_date":"2012-04-12","doc_url":"https://findmynpi.com/api"}}