{"npi":"1649378019","type":"NPI-2","status":"active","name":{"display":"Aurora Psychological Services LLC","other":[],"organization_name":"AURORA PSYCHOLOGICAL SERVICES LLC","authorised_official":"Annie Emanuel"},"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":"MN","license":"LP4645"}]},"addresses":[{"purpose":"LOCATION","street_1":"4660 SLATER RD","city":"EAGAN","state":"MN","postal_code":"551224047","country_code":"US","street_2":"SUITE 210","phone":"6518826299","fax":"6518826299"},{"purpose":"MAILING","street_1":"4660 SLATER RD","city":"EAGAN","state":"MN","postal_code":"551224047","country_code":"US","street_2":"SUITE 210","phone":"6518826299","fax":"6516830057"}],"license":{"state":"MN","number":"LP4645"},"identifiers":[{"type_code":"01","label":"Other","value":"83G50OL","state":"MN","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"084673200","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"138155","state":"MN","issuer":"UCARE"},{"type_code":"01","label":"Other","value":"HP58813","state":"MN","issuer":"HEALTH PARTNERS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060202000919","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"5294749883"}]},"enumeration_date":"2006-09-20","last_updated":"2024-03-18","_meta":{"source":"NPPES","snapshot_date":"2024-03-18","doc_url":"https://findmynpi.com/api"}}