{"npi":"1609109131","type":"NPI-2","status":"active","name":{"display":"The Metamorphorsis Institute, LLC","other":[],"organization_name":"THE METAMORPHORSIS INSTITUTE, LLC","authorised_official":"Mary Taylor-Ennis"},"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":"MD","license":"03567"}]},"addresses":[{"purpose":"LOCATION","street_1":"7131 LIBERTY RD","city":"BALTIMORE","state":"MD","postal_code":"212074575","country_code":"US","street_2":"SUITE 202","phone":"4434363003","fax":"4434363002"},{"purpose":"MAILING","street_1":"7131 LIBERTY RD","city":"BALTIMORE","state":"MD","postal_code":"212074575","country_code":"US","street_2":"SUITE 202","phone":"4434363003","fax":"4434363002"}],"license":{"state":"MD","number":"03567"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"251502400","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-09-16","last_updated":"2009-09-21","_meta":{"source":"NPPES","snapshot_date":"2009-09-21","doc_url":"https://findmynpi.com/api"}}