{"npi":"1346836681","type":"NPI-2","status":"active","name":{"display":"Southtown Psychiatry PLLC","other":[],"organization_name":"SOUTHTOWN PSYCHIATRY PLLC","authorised_official":"Jason Miller"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"909 NE LOOP 410 STE 600","city":"SAN ANTONIO","state":"TX","postal_code":"782091309","country_code":"US","phone":"2103322727","fax":"2105479537"},{"purpose":"MAILING","street_1":"909 NE LOOP 410 STE 600","city":"SAN ANTONIO","state":"TX","postal_code":"782091309","country_code":"US","phone":"2104600070","fax":"2105479537"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240205003727","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"5698118842"},{"enrlmt_id":"O20240925000223","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"5698118842"},{"enrlmt_id":"O20241018000260","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"5698118842"}]},"enumeration_date":"2020-12-20","last_updated":"2024-11-27","_meta":{"source":"NPPES","snapshot_date":"2024-11-27","doc_url":"https://findmynpi.com/api"}}