{"npi":"1366618878","type":"NPI-2","status":"active","name":{"display":"Social Psychological Services, Inc.","other":[],"organization_name":"SOCIAL PSYCHOLOGICAL SERVICES, INC.","authorised_official":"George Serednesky"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":"OH","license":"103TC0700X"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 E BROAD ST STE 202","city":"COLUMBUS","state":"OH","postal_code":"432051333","country_code":"US","phone":"6142940526","fax":"6142940526"},{"purpose":"MAILING","street_1":"1000 E BROAD ST STE 202","city":"COLUMBUS","state":"OH","postal_code":"432051333","country_code":"US","phone":"6142940526","fax":"6142302063"}],"license":{"state":"OH","number":"103TC0700X"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0262139","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20260105000305","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"3577059187"}]},"enumeration_date":"2008-05-05","last_updated":"2021-06-07","_meta":{"source":"NPPES","snapshot_date":"2021-06-07","doc_url":"https://findmynpi.com/api"}}