{"npi":"1639630718","type":"NPI-1","status":"active","name":{"display":"Doug Bolton PH.D.","other":[],"first":"DOUG","last":"BOLTON","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":"IL","license":"071005517"}]},"addresses":[{"purpose":"LOCATION","street_1":"5100 N RAVENSWOOD AVE STE 225","city":"CHICAGO","state":"IL","postal_code":"606401752","country_code":"US","phone":"8722419337","fax":"8722419338"},{"purpose":"MAILING","street_1":"5100 N RAVENSWOOD AVE STE 225","city":"CHICAGO","state":"IL","postal_code":"606401752","country_code":"US","phone":"8722419337","fax":"8722419338"}],"license":{"state":"IL","number":"071005517"},"identifiers":[{"type_code":"01","label":"Other","value":"071005517","state":"IL","issuer":"IDFPR"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-03-29","last_updated":"2019-03-29","_meta":{"source":"NPPES","snapshot_date":"2019-03-29","doc_url":"https://findmynpi.com/api"}}