{"npi":"1366628331","type":"NPI-2","status":"active","name":{"display":"Philip R. Taft PSY.D. PLLC","other":[],"organization_name":"PHILIP R. TAFT PSY.D. PLLC","authorised_official":"Philip Taft"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":null,"license":null},{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"103T00000X","description":"Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"715 W 2ND AVE","city":"CORSICANA","state":"TX","postal_code":"751103012","country_code":"US","phone":"9038724442","fax":"9036422550"},{"purpose":"MAILING","street_1":"1106 OAKLAWN DR","city":"CORSICANA","state":"TX","postal_code":"751102848","country_code":"US","phone":"9038724442"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"0073MG","state":"TX","issuer":"BLUE CROSS BLUE SHIELD TX"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041119000754","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"6204891138"}]},"enumeration_date":"2008-01-21","last_updated":"2024-07-06","_meta":{"source":"NPPES","snapshot_date":"2024-07-06","doc_url":"https://findmynpi.com/api"}}