{"npi":"1659459519","type":"NPI-1","status":"active","name":{"display":"Judith Reaven PHD","other":[],"first":"JUDITH","last":"REAVEN","credential":"PHD"},"specialty":{"primary_taxonomy":"103G00000X","primary_taxonomy_description":"Clinical Neuropsychologist","slug":"clinical-neuropsychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":false,"state":"CO","license":"1190"},{"code":"103G00000X","description":"Clinical Neuropsychologist","primary":true,"state":"CO","license":"PSY.0001190"}]},"addresses":[{"purpose":"LOCATION","street_1":"13121 E 17TH AVE","city":"AURORA","state":"CO","postal_code":"800452535","country_code":"US","phone":"3033156503"},{"purpose":"MAILING","street_1":"PO BOX 110429","city":"AURORA","state":"CO","postal_code":"800420429","country_code":"US","phone":"3034937000"}],"license":{"state":"CO","number":"PSY.0001190"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"74629701","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040630000304","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"CO","pac_id":"8123005907"}]},"enumeration_date":"2006-11-01","last_updated":"2021-09-10","_meta":{"source":"NPPES","snapshot_date":"2021-09-10","doc_url":"https://findmynpi.com/api"}}