{"npi":"1609396183","type":"NPI-2","status":"active","name":{"display":"Kenneth L. Larson, PH.D., Inc.","other":[],"organization_name":"KENNETH L. LARSON, PH.D., INC.","authorised_official":"Kenneth Larson"},"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":"CA","license":"PSY16221"}]},"addresses":[{"purpose":"LOCATION","street_1":"1891 E ROSEVILLE PKWY STE 100","city":"ROSEVILLE","state":"CA","postal_code":"956617974","country_code":"US","phone":"9167897082","fax":"9167978840"},{"purpose":"MAILING","street_1":"1891 E ROSEVILLE PKWY STE 100","city":"ROSEVILLE","state":"CA","postal_code":"956617974","country_code":"US","phone":"9167897082","fax":"9167978840"}],"license":{"state":"CA","number":"PSY16221"},"identifiers":[{"type_code":"01","label":"Other","value":"PSY16221","state":"CA","issuer":"CALIFORNIA BOARD OF PSYCHOLOGY"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-06-26","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}