{"npi":"1316675754","type":"NPI-2","status":"active","name":{"display":"Movin Behavioral Health PLLC","other":[],"organization_name":"MOVIN BEHAVIORAL HEALTH PLLC","authorised_official":"Justin Maduobi"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"14205 SE 36TH ST","city":"BELLEVUE","state":"WA","postal_code":"980061596","country_code":"US","phone":"3608214302"},{"purpose":"MAILING","street_1":"14205 SE 36TH ST STE 100","city":"BELLEVUE","state":"WA","postal_code":"980061553","country_code":"US","phone":"8327139170"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2206630","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20221014001414","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"6901272038"}]},"enumeration_date":"2022-08-12","last_updated":"2024-11-04","_meta":{"source":"NPPES","snapshot_date":"2024-11-04","doc_url":"https://findmynpi.com/api"}}