{"npi":"1659559136","type":"NPI-2","status":"active","name":{"display":"Fuentes Family Counseling, Inc.","other":[],"organization_name":"FUENTES FAMILY COUNSELING, INC.","authorised_official":"Jose Fuentes"},"specialty":{"primary_taxonomy":"103G00000X","primary_taxonomy_description":"Clinical Neuropsychologist","slug":"clinical-neuropsychologist","schema_org_specialty":null,"all":[{"code":"103G00000X","description":"Clinical Neuropsychologist","primary":true,"state":"CA","license":"PSY19230"}]},"addresses":[{"purpose":"LOCATION","street_1":"24230 BARTON RD","city":"LOMA LINDA","state":"CA","postal_code":"923543232","country_code":"US","phone":"9097969300"},{"purpose":"MAILING","street_1":"PO BOX 10545","city":"SAN BERNARDINO","state":"CA","postal_code":"924230545","country_code":"US","phone":"9092484332"}],"license":{"state":"CA","number":"PSY19230"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-02-06","last_updated":"2021-02-02","_meta":{"source":"NPPES","snapshot_date":"2021-02-02","doc_url":"https://findmynpi.com/api"}}