{"npi":"1326005356","type":"NPI-1","status":"active","name":{"display":"Dr. Bede Pantaze PHD","other":[],"first":"BEDE","last":"PANTAZE","middle":"A.R.","credential":"PHD"},"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":"VA","license":"0810002816"}]},"addresses":[{"purpose":"LOCATION","street_1":"9702 GAYTON RD","city":"RICHMOND","state":"VA","postal_code":"232384907","country_code":"US","street_2":"#181","phone":"8047417500","fax":"8047417900"},{"purpose":"MAILING","street_1":"P.O. BOX 586","city":"GLASGOW","state":"VA","postal_code":"24555","country_code":"US","phone":"5404615555","fax":"8047417900"}],"license":{"state":"VA","number":"0810002816"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"007712537","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"245585","state":"VA","issuer":"BLUE CROSS PIN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-04-26","last_updated":"2019-10-23","_meta":{"source":"NPPES","snapshot_date":"2019-10-23","doc_url":"https://findmynpi.com/api"}}