{"npi":"1356757900","type":"NPI-1","status":"active","name":{"display":"Deseri Cunningham PSYD, Lp","other":[{"code":"1","type":"Formerly known as","value":"JOHNSON, DESERI ALICIA"}],"first":"DESERI","last":"CUNNINGHAM","middle":"ALICIA","credential":"PSYD, LP"},"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":"MO","license":"2016035950"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"MO","license":"2014022296"}]},"addresses":[{"purpose":"LOCATION","street_1":"1350 E BRADFORD PKWY","city":"SPRINGFIELD","state":"MO","postal_code":"658044376","country_code":"US","phone":"4177615850"},{"purpose":"MAILING","street_1":"1300 E BRADFORD PKWY","city":"SPRINGFIELD","state":"MO","postal_code":"658044264","country_code":"US","phone":"4177615000","fax":"4177615011"}],"license":{"state":"MO","number":"2016035950"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"490014993","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190102000064","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"MO","pac_id":"6406191097"}]},"enumeration_date":"2014-07-03","last_updated":"2025-11-05","_meta":{"source":"NPPES","snapshot_date":"2025-11-05","doc_url":"https://findmynpi.com/api"}}