{"npi":"1639396641","type":"NPI-1","status":"active","name":{"display":"Dr. John Theodore PH.D.","other":[],"first":"JOHN","last":"THEODORE","middle":"L.","credential":"PH.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":"NY","license":"68 017120"}]},"addresses":[{"purpose":"LOCATION","street_1":"412 AVENUE OF THE AMERICAS","city":"NEW YORK","state":"NY","postal_code":"100118409","country_code":"US","street_2":"SUITE 413","phone":"6462397774","fax":"2123881215"},{"purpose":"MAILING","street_1":"412 AVENUE OF THE AMERICAS","city":"NEW YORK","state":"NY","postal_code":"100118409","country_code":"US","street_2":"SUITE 413","phone":"6462397774","fax":"2123881215"}],"license":{"state":"NY","number":"68 017120"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02878408","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-19","last_updated":"2010-12-21","_meta":{"source":"NPPES","snapshot_date":"2010-12-21","doc_url":"https://findmynpi.com/api"}}