{"npi":"1649700527","type":"NPI-1","status":"active","name":{"display":"Dr. Clinton Ross MD","other":[],"first":"CLINTON","last":"ROSS","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"FL","license":"ME161304"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"LA","license":"309749"}]},"addresses":[{"purpose":"LOCATION","street_1":"2686 NEWBERRY STATION DR","city":"LAKE CHARLES","state":"LA","postal_code":"706113984","country_code":"US","phone":"3374857600","fax":"3374857700"},{"purpose":"MAILING","street_1":"2686 NEWBERRY STATION DR","city":"LAKE CHARLES","state":"LA","postal_code":"706113984","country_code":"US","phone":"3374857600"}],"license":{"state":"LA","number":"309749"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1551228","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"1063569648","state":null,"issuer":"GROUP NPI"},{"type_code":"05","label":"Medicaid","value":"2470299","state":"LA","issuer":null},{"type_code":"05","label":"Medicaid","value":"119512900","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250128003019","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"LA","pac_id":"3274062807"}]},"enumeration_date":"2017-06-14","last_updated":"2025-04-07","_meta":{"source":"NPPES","snapshot_date":"2025-04-07","doc_url":"https://findmynpi.com/api"}}