{"npi":"1619945987","type":"NPI-1","status":"active","name":{"display":"Dr. Cory Sells PSY.D.","other":[{"code":"1","type":"Formerly known as","value":"BRIDWELL, CORY RARDIN"}],"first":"CORY","last":"SELLS","middle":"BRIDWELL","credential":"PSY.D."},"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":"CT","license":"002595"}]},"addresses":[{"purpose":"LOCATION","street_1":"176 AMITY RD","city":"WOODBRIDGE","state":"CT","postal_code":"065252239","country_code":"US","phone":"2037362601"},{"purpose":"MAILING","street_1":"176 AMITY RD # 232","city":"WOODBRIDGE","state":"CT","postal_code":"065252239","country_code":"US","phone":"2032320716"}],"license":{"state":"CT","number":"002595"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00235918","state":"CT","issuer":null},{"type_code":"01","label":"Other","value":"11751794","state":"CT","issuer":"CAQH"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-03-10","last_updated":"2022-03-07","_meta":{"source":"NPPES","snapshot_date":"2022-03-07","doc_url":"https://findmynpi.com/api"}}