{"npi":"1568923936","type":"NPI-1","status":"active","name":{"display":"Max Simonsen MD","other":[],"first":"MAX","last":"SIMONSEN","middle":"WIKNE","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"VA","license":"0101278229"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"VA","license":"0101278229"}]},"addresses":[{"purpose":"LOCATION","street_1":"825 FAIRFAX AVE STE 710","city":"NORFOLK","state":"VA","postal_code":"235071912","country_code":"US","phone":"7574465884"},{"purpose":"MAILING","street_1":"5999 BURKE COMMONS RD","city":"BURKE","state":"VA","postal_code":"220152880","country_code":"US","phone":"2028455327"}],"license":{"state":"VA","number":"0101278229"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231011003109","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"DC","pac_id":"4688902513"},{"enrlmt_id":"I20250603001211","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"VA","pac_id":"4688902513"}]},"enumeration_date":"2019-03-28","last_updated":"2023-08-25","_meta":{"source":"NPPES","snapshot_date":"2023-08-25","doc_url":"https://findmynpi.com/api"}}