{"npi":"1295156495","type":"NPI-1","status":"active","name":{"display":"Dr. Lea Berentson PSYD","other":[],"first":"LEA","last":"BERENTSON","credential":"PSYD"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"ND","license":"487"},{"code":"103T00000X","description":"Psychologist","primary":false,"state":"ND","license":"487"}]},"addresses":[{"purpose":"LOCATION","street_1":"10110 LAKE ROAD","city":"BOTTINEAU","state":"ND","postal_code":"58318","country_code":"US","phone":"7013897963","fax":"7014250550"},{"purpose":"MAILING","street_1":"PO BOX 267","city":"BOTTINEAU","state":"ND","postal_code":"583180267","country_code":"US","phone":"7013897963","fax":"7014250550"}],"license":{"state":"ND","number":"487"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1453145","state":"ND","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140312001662","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"ND","pac_id":"3678703683"}]},"enumeration_date":"2013-12-16","last_updated":"2026-05-01","_meta":{"source":"NPPES","snapshot_date":"2026-05-01","doc_url":"https://findmynpi.com/api"}}