{"npi":"1407927122","type":"NPI-1","status":"active","name":{"display":"Dr. Mary White","other":[],"first":"MARY","last":"WHITE","middle":"E."},"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":"TX","license":"24900"}]},"addresses":[{"purpose":"LOCATION","street_1":"616 W RUSSELL PL","city":"SAN ANTONIO","state":"TX","postal_code":"782123658","country_code":"US","phone":"8002578715","fax":"8008191655"},{"purpose":"MAILING","street_1":"1810 JUSTIN LN","city":"AUSTIN","state":"TX","postal_code":"787572409","country_code":"US","phone":"5124534561"}],"license":{"state":"TX","number":"24900"},"identifiers":[{"type_code":"01","label":"Other","value":"86040A","state":"TX","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"116109302","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"116109303","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110107000048","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"TX","pac_id":"0941499818"}]},"enumeration_date":"2006-11-13","last_updated":"2007-07-09","_meta":{"source":"NPPES","snapshot_date":"2007-07-09","doc_url":"https://findmynpi.com/api"}}