{"npi":"1295311595","type":"NPI-2","status":"active","name":{"display":"Lifesource Of North Carolina","other":[],"organization_name":"LIFESOURCE OF NORTH CAROLINA","authorised_official":"Peggy Baddour"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4600 W WASHINGTON ST","city":"SOUTH BEND","state":"IN","postal_code":"466192320","country_code":"US","phone":"9107429243","fax":"8887461787"},{"purpose":"MAILING","street_1":"PO BOX 538622","city":"ATLANTA","state":"GA","postal_code":"303538622","country_code":"US","phone":"9107429243","fax":"8887461787"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-03-18","last_updated":"2021-03-18","_meta":{"source":"NPPES","snapshot_date":"2021-03-18","doc_url":"https://findmynpi.com/api"}}