{"npi":"1376648725","type":"NPI-2","status":"active","name":{"display":"Phelps County Regional Medical Center","other":[],"organization_name":"PHELPS COUNTY REGIONAL MEDICAL CENTER","authorised_official":"Katherine Hunter"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"MO","license":"20020110"}]},"addresses":[{"purpose":"LOCATION","street_1":"1206 HOMELIFE DR.","city":"ROLLA","state":"MO","postal_code":"65401","country_code":"US","phone":"3573642007","fax":"5733648695"},{"purpose":"MAILING","street_1":"1206 HOMELIFE DR.","city":"ROLLA","state":"MO","postal_code":"65401","country_code":"US","phone":"3573642007","fax":"5733648695"}],"license":{"state":"MO","number":"20020110"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"499035616","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"20020110","state":"MO","issuer":"MO STATE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-13","last_updated":"2008-07-15","_meta":{"source":"NPPES","snapshot_date":"2008-07-15","doc_url":"https://findmynpi.com/api"}}