{"npi":"1366879967","type":"NPI-1","status":"active","name":{"display":"Lisa Polon PSY.D.","other":[],"first":"LISA","last":"POLON","middle":"SARA","credential":"PSY.D."},"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":"CA","license":"PSY29914"}]},"addresses":[{"purpose":"LOCATION","street_1":"3569 ROUND BARN CIR","city":"SANTA ROSA","state":"CA","postal_code":"954035781","country_code":"US","phone":"7073033600"},{"purpose":"MAILING","street_1":"3569 ROUND BARN CIR","city":"SANTA ROSA","state":"CA","postal_code":"954035781","country_code":"US","phone":"7073033600"}],"license":{"state":"CA","number":"PSY29914"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240419001876","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"CA","pac_id":"6305285529"}]},"enumeration_date":"2013-09-27","last_updated":"2020-05-29","_meta":{"source":"NPPES","snapshot_date":"2020-05-29","doc_url":"https://findmynpi.com/api"}}