{"npi":"1265594089","type":"NPI-1","status":"active","name":{"display":"Mrs. Sandra Pyram Loyer Ms","other":[{"code":"1","type":"Formerly known as","value":"PYRAM, SANDRA"}],"first":"SANDRA","last":"PYRAM LOYER","credential":"MS"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"RI","license":"MHC00756"}]},"addresses":[{"purpose":"LOCATION","street_1":"39 WESTMORE RD APT 1","city":"BOSTON","state":"MA","postal_code":"021261515","country_code":"US","phone":"4016631994"},{"purpose":"MAILING","street_1":"39 WESTMORE RD APT 1","city":"BOSTON","state":"MA","postal_code":"021261515","country_code":"US"}],"license":{"state":"RI","number":"MHC00756"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-15","last_updated":"2026-05-08","_meta":{"source":"NPPES","snapshot_date":"2026-05-08","doc_url":"https://findmynpi.com/api"}}