{"npi":"1508925025","type":"NPI-2","status":"active","name":{"display":"Prc Enterprises","other":[],"organization_name":"PRC ENTERPRISES","authorised_official":"Patricia Campbell"},"specialty":{"primary_taxonomy":"103TM1800X","primary_taxonomy_description":"Intellectual & Developmental Disabilities Psychologist","slug":"intellectual-developmental-disabilities-psychologist","schema_org_specialty":null,"all":[{"code":"103TM1800X","description":"Intellectual & Developmental Disabilities Psychologist","primary":true,"state":"MO","license":"14078480"}]},"addresses":[{"purpose":"LOCATION","street_1":"650 VINE ST","city":"POPLAR BLUFF","state":"MO","postal_code":"639015039","country_code":"US","phone":"5737781126","fax":"5737854887"},{"purpose":"MAILING","street_1":"650 VINE ST","city":"POPLAR BLUFF","state":"MO","postal_code":"639015039","country_code":"US","phone":"5737781126","fax":"5737854887"}],"license":{"state":"MO","number":"14078480"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"193400000X","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-08","last_updated":"2008-06-12","_meta":{"source":"NPPES","snapshot_date":"2008-06-12","doc_url":"https://findmynpi.com/api"}}